Case 36361

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Abstract
Presentation of Case First admission. A fifteen-year-old boy was admitted to the hospital because of fever, cough and pleurisy.The patient had been in excellent health until one month before admission, when he suffered the insidious onset of mild fever, lack of energy, mild headache and general malaise. After a week the symptoms became somewhat worse, with daily temperature spikes to 101°F. and a nonproductive cough. At this time the white-cell count was 8800, with 70 per cent neutrophils, cold agglutinins were negative, and a chest x-ray film revealed an area of hazy density at the right base near . . .

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