Case 20-1972

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Abstract
Presentation of CaseA 14-year-old boy was admitted to the hospital because of cardiac arrhythmias.Before the age of six years he was admitted to a hospital on three occasions because of pneumonia and once with "febrile convulsions." Thereafter he was well and active. One month before admission he was beaten by one or more assailants; trauma to the chest was denied. Subsequently, he was observed to be lethargic. Eleven days before entry a dry cough, coryza and sneezing developed. On the following day epistaxis occurred, and he began to cough up large quantities of clear sputum. He was dyspneic . . .
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