Case 45-1989

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Abstract
Presentation of CaseA 48-year-old woman was admitted to the hospital because of the adult respiratory distress syndrome and left flank pain.She was well until eight months earlier, when she was admitted to another hospital because of chest pain that was accompanied by a severe headache, and a diagnosis of a myocardial infarct was made on the basis of serum enzyme changes. During the next few months she was readmitted to the same hospital on three occasions because of chest pain, at least once accompanied by severe headache, and on the latest occasion, two months before entry, she was . . .