Case 36171

Abstract
Presentation of Case First admission. A fifty-eight-year-old nulliparous widow entered the hospital complaining of a five-week episode of vaginal spotting. She had had a normal menopause twelve years previously, with no subsequent bleeding or discharge until her present illness.The past history included scarlet fever at the age of two, diphtheria at thirteen and an attack of rheumatic fever at the age of eighteen. Subsequently, the patient led a normal life until nine years before admission, when, at the age of forty-nine, she had a three-week illness consisting of sore throat, headache and fever. A physician told her that . . .