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Pathological Case of the Month
Mark A. Lovell, MD;
Alyson M. Miller, MD;
J. Owen Hendley, MD
From the Departments of Pathology (Drs Lovell and Miller) and Pediatrics (Drs Lovell and Hendley), University of Virginia Health Sciences Center, Charlottesville.
Arch Pediatr Adolesc Med. 1998;152:925-926.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 3-WEEK-OLD Hispanic boy was seen in the emergency department with a 2-day history of cough and rhinorrhea. This breast-fed infant was the 3.1-kg product of a 36-week gestation to a 20-year-old, Spanish-speaking primigravida woman. There had been exposure to a 16-year-old relative with an upper respiratory tract infection who was newly arrived from Mexico. In the emergency department the infant had a temperature of 38.2°C. Physical examination results were within normal limits and he was discharged.
On the third day, the infant was seen in the clinic with cough and rhinorrhea. Examination revealed bilateral rhonchi, occasional substernal retractions with grunting, and a 2/6 systolic ejection murmur. The infant was admitted and a chest x-ray film was interpreted as being within normal limits (Figure 1, A). The white blood cell count (WBC) was 24.7x109. . . [Full Text of this Article]
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