Case 30-2002

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Abstract
Presentation of CaseAn eight-year-old girl was admitted to the hospital because of fever, cough, hemoptysis, and pulmonary consolidations.She had been well until six days before admission, when she was visiting El Salvador. A sore throat developed, with mild fever, a dry cough, and anorexia, and she began to vomit once daily. Three days before admission, she traveled by air to Boston, where she lived, and dyspnea developed. The next day, she began to cough up bright red blood and had right-sided otalgia and a sore throat; the low-grade fever persisted. The hemoptysis and dyspnea worsened, and she was . . .