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SECTION I Respiratory Tract Infections |
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1 | (98) |
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A 14-year-old girl presented with a 2-day history of fever, sore throat, and a red left eye |
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7 | (4) |
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A 21-year-old male college student presented with fever, sore throat, severe fatigue, and difficulty in swallowing |
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11 | (4) |
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A 6-year-old girl presented with a high fever, an itchy throat, and difficulty swallowing |
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15 | (4) |
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A 9-year-old girl presented with low-grade fever, sore throat, and malaise for 2 days |
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19 | (4) |
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A 7-year-old girl presented with fever, headache, earache, and swelling and tenderness at the parotid and submaxillary areas |
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23 | (2) |
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A 16-month-old boy presented with runny nose, hoarseness, barking cough, and low-grade fever |
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25 | (4) |
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A 2-month-old girl with no history of immunization turned blue after a series of coughing spells |
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29 | (2) |
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A 64-year old man with COPD presented with a low-grade fever, productive cough of yellow-green sputum, and worsening shortness of breath |
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31 | (4) |
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A 67-year-old man presented with abrupt onset of shaking chills, high fever, chest pain, and a productive cough |
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35 | (6) |
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A 66-year-old homeless alcoholic man presented with a cough, fever, night sweats, and chest pain |
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41 | (4) |
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A 21-year-old woman developed fever, headache, and a gradually progressive dry cough |
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45 | (4) |
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A 41-year-old man was admitted with a 3-day history of high fever and cough |
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49 | (4) |
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A 71-year-old man developed fever, chills, muscle aches, cough, and prostration |
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53 | (4) |
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A 5-month-old girl was brought to the clinic with a 2-day history of cough and respiratory difficulty |
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57 | (4) |
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A 32-year-old woman presented with a cough, night sweats, and a 15-lb weight loss |
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61 | (4) |
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A 29-year-old woman developed fever, chills, and bloody cough after chemotherapy for leukemia |
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65 | (4) |
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Five workers between the ages of 29 and 48 years presented with a 1-week history of fever, chills, night sweats, cough, and weight loss |
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69 | (4) |
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A 38-year-old man presented with a 2-week history of fever, productive cough, right-sided pleuritic chest pain, a 12-lb weight loss, and a painful lesion on his left arm |
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73 | (2) |
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A 35-year-old man was admitted with a 3-week history of fever, night sweats, headache, joint pains, and a dry cough |
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75 | (4) |
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A 44-year-old man presented with a 3-month history of intermittent fever, chills, and a cough productive of green sputum |
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79 | (4) |
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A 20-year-old man presented with a 3-week history of moderate fever, cough, shortness of breath, weight loss, and anorexia |
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83 | (4) |
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A 23-year-old man with AIDS was admitted for fever, nonproductive cough, and progressive shortness of breath |
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87 | (4) |
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An 18-year-old woman with cystic fibrosis presented with a worsening chronic cough productive of greenish sputum |
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91 | (4) |
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A 62-year-old man was admitted with fever, shortness of breath, productive cough, and chest pain. He also complained of thick, yellowish discharge in his eyes |
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95 | (4) |
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SECTION II Urogenital Tract Infections |
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99 | (42) |
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A 24-year-old sexually active woman had a 1-day history of urgency and burning pain on urination |
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103 | (4) |
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A 31-year-old woman presented with low-grade fever, malaise, and a rash. She had a history of painless ulcers on the vulva |
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107 | (4) |
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A 26-year-old man was concerned about the painful, itchy sores on the shaft of the penis |
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111 | (4) |
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A 23-year-old woman presented with a few small, raised lesions on the cervix but was otherwise asymptomatic |
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115 | (4) |
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An 18-year-old sexually active man presented with a 48-hour history of painful urination and a yellowish penile discharge |
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119 | (4) |
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A 27-year-old woman presented with lower abdominal pain, vaginal discharge, and dysuria for 1 week |
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123 | (4) |
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A 26-year-old woman came to a clinic complaining of a profuse yellow, foamy vaginal discharge with foul odor |
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127 | (4) |
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A 21-year-old woman complained of bothersome vulvar itching and thick, whitish vaginal discharge |
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131 | (4) |
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A 27-year-old man presented with fever, headache, sore throat, malaise, and a rash |
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135 | (6) |
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SECTION III Gastrointestinal Tract Infections and Liver Diseases |
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141 | (94) |
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A 20-year-old man was brought for evaluation of severe abdominal cramping, diarrhea, and bloody bowel movements |
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147 | (4) |
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Six individuals presented with a low-grade fever, abdominal cramps, vomiting, and diarrhea |
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151 | (4) |
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A 41-year-old man was brought with a 3-day history of shaking chills, high fever, headache, abdominal pain, and generalized weakness |
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155 | (4) |
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A 71-year-old man had an acute onset of fever, crampy abdominal pain, and diarrhea |
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159 | (4) |
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A 75-year-old man had severe abdominal cramps and watery diarrhea that became bloody |
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163 | (4) |
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A 31-year-old man presented with sudden severe, watery diarrhea after returning to the United States from Bangladesh |
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167 | (4) |
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Twenty-four people had nausea, vomiting, and crampy abdominal pain within 3 hours after eating a meal at an office party |
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171 | (4) |
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A 3-month-old female infant was brought with a 5-day history of decreased activity, decreased oral intake, upper airway congestion, and general irritability |
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175 | (4) |
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A 67-year-old man presented with frequent diarrhea after treatment for nosocomial pneumonia |
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179 | (4) |
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A 9-month-old baby girl was brought with a 2-day history of vomiting, watery diarrhea, and fever |
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183 | (4) |
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Within 48 hours of a college football game, 158 students presented with nausea, vomiting, and diarrhea |
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187 | (4) |
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A 54-year-old woman presented with worsening abdominal pain and occasional heartburn |
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191 | (4) |
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A 36-year-old man experienced intermittent diarrhea, with blood and mucus, and tenesmus after a trip to India |
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195 | (4) |
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A 25-year-old man presented with nausea, flatulence, lack of appetite, and watery foul-smelling diarrhea |
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199 | (4) |
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A 35-year-old man with AIDS presented with low-grade fever, nausea, anorexia, and several weeks of watery diarrhea |
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203 | (4) |
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A 3-year-old girl experienced a 3-week history of nausea, poor appetite, abdominal pain, and a 2-day history of no bowel movements |
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207 | (4) |
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A 42-year-old man experienced 3 weeks of worsening diarrhea, abdominal pain, and fevers, and 2 weeks of an itchy rash |
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211 | (4) |
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A 49-year-old woman from Argentina experienced high fever and chills, jaundice, and upper abdominal pain for 3 days |
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215 | (4) |
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A 41-year-old man from Kenya presented with a 4-month history of worsening abdominal pain, diarrhea, nausea, and vomiting with blood |
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219 | (4) |
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A 23-year-old man presented with a 5-day history of fever, jaundice, nausea, and vomiting |
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223 | (4) |
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A 27-year-old woman and IV drug user complained of fevers, chills, headache, malaise, anorexia, and abdominal pain |
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227 | (4) |
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A 48-year-old man was asymptomatic at physical exam, but routine chemistry panel showed elevated transaminases |
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231 | (4) |
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SECTION IV Nervous System Infections |
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235 | (48) |
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A 20-year-old male college student was brought to an ER with a 12-hour history of high fever, chills, and severe headache |
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241 | (4) |
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A 3 week-old baby boy was brought to the ER with a 24-hour history of fever, poor feeding, irritability, and a seizure |
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245 | (4) |
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A 64-year-old woman with a history of rheumatoid arthritis presented to the emergency department with 5 days of fever, headache, and confusion |
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249 | (4) |
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In a rural county in the Midwest, 29 people had a rapid onset of fever, headache, stiff neck, and photophobia |
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253 | (4) |
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A 61-year-old homeless man had fever, malaise, worsening headache, nausea, vomiting, and diarrhea for the past 3 days in July |
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257 | (4) |
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A 56-year-old man was brought to the ER for fevers, headache, left-sided weakness, and a seizure |
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261 | (2) |
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A 45-year-old homosexual man was brought to the ER for fever, severe headache, nausea, vomiting, and mental status changes |
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263 | (4) |
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A 30-year-old woman was brought to the ER for severe headache, nausea, vomiting, and seizures |
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267 | (4) |
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A 28-year-old man was brought to the ER for severe headaches and two generalized seizures |
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271 | (4) |
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A 31-year-old man was brought to the ER for fever, muscle pains, vomiting, and visual hallucinations |
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275 | (4) |
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A 9-day-old female newborn had a 10-hour history of inability to nurse and difficulty in opening her jaw |
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279 | (4) |
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SECTION V Skin, Wound, and Multisystem Infections |
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283 | (66) |
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An 18-year-old male college student developed fever, chills, and pain while walking. He had boils on his left leg and fever |
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287 | (6) |
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A 24-year-old man developed severe pain and swelling in his left thigh. He was unable to walk without assistance and developed a high fever |
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293 | (4) |
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A 66-year-old man developed local edema and brownish discharge 2 days after surgery for colon carcinoma |
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297 | (4) |
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A 27-year-old man had high, spiking fevers, severe diffuse pain over the lower abdomen, and loss of appetite |
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301 | (4) |
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An 8-year-old white boy was brought to the dermatology clinic for raised lesions on his head |
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305 | (4) |
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A 58-year-old man presented with a 3-week history of progressive, mildly painful skin lesions on his left arm |
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309 | (4) |
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Six unvaccinated college students became sick with fever, cough, conjunctivitis, coryza, and a rash while in India |
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313 | (4) |
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A 3-year-old unvaccinated boy developed a low-grade fever, swollen lymph nodes, and a rash |
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317 | (4) |
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A 55-year-old woman experienced burning and pain over her left forearm. Several vesicles developed in a band-like distribution on her arm |
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321 | (4) |
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A 62-year-old man with a history of a heart murmur developed low-grade fevers, night sweats, and fatigue |
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325 | (4) |
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A 36-year-old man with AML was brought to the hospital for high fever, dry cough, and worsening shortness of breath for a week |
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329 | (4) |
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A 63-year-old white man came to the ER for fever, headache, generalized myalgia, arthralgias, and a rash under the armpit |
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333 | (4) |
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A 9-year-old boy, a new immigrant from West Africa, developed intense chills and daily high fever for 4 days |
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337 | (4) |
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On a hot summer day, a 23-year-old man was brought to the ER for fever, severe headache, and spotted rash |
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341 | (4) |
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A 35-year-old man developed high fever, myalgias, and severe headache after a boating trip |
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345 | (2) |
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A 55-year-old woman developed high fever, chills, and pain in the axilla after having been bitten by her cat |
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347 | (2) |
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SECTION VI Bioterrorism Agents and Emerging Infections |
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349 | (41) |
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A 63-year-old man developed nausea, vomiting, and confusion |
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355 | (4) |
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A 24-year-old man complained of a chickenpox-like rash after he had fever, severe headache, and back pain |
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359 | (4) |
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An 18-year-old man was taken to the ER for fever, weakness, pain in his left groin, and small rashes on his leg |
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363 | (4) |
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A 38-year-old man had an 8-week history of fevers, headache, sweats, a 30-lb weight loss, and pain in his joints and lower back |
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367 | (4) |
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A 51-year-old man developed fever, headache, muscle aches, and an ulcer a week after skinning and tanning a rabbit |
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371 | (4) |
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In early summer, a 42-year-old man was admitted with a 1-week history of fever, muscle aches, and malaise |
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375 | (4) |
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In August, a 69-year-old diabetic woman developed fever, headache, vomiting, weakness, and confusion |
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379 | (4) |
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A 46-year-old man had a 6-month history of increasing forgetfulness, depression, and personality changes |
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383 | (4) |
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A 44-year-old female nursing aide attending a patient with severe respiratory illness had complaints of fever, cough, myalgias, and mild shortness of breath |
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387 | (3) |
| Appendix A: Pathogenic Viruses: Concepts |
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390 | (11) |
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| Appendix B: Pathogenic Bacteria: Concepts |
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401 | (17) |
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| Appendix C: Pathogenic Fungi and Parasites: Concepts |
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418 | (15) |
| Appendix D: Diagnostic Methods: Concepts Dominick Cavuoti, DO |
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433 | (18) |
| Appendix E: Antimicrobial Therapy |
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451 | (11) |
| Appendix F: Practice Questions and Answers |
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462 | (52) |
| Appendix G: Microbes/Diseases |
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514 | (3) |
| Index |
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517 | |
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