Spiraling Out of Control.

N Engl J Med

From the Divisions of General Internal Medicine (S.M., R.S.M., L.P.) and Infectious Disease (S.C.K.), Department of Medicine, Johns Hopkins University School of Medicine, Baltimore; and the Department of Medicine and the Division of Infectious Disease, University of California, San Francisco, San Francisco (H.H.).

Published: June 2017

A 22-year-old man presented to the emergency department on Christmas Day with a 5-day history of myalgias, cough, dyspnea, nonbilious emesis, and nonbloody diarrhea. Although he had been ill for several days, he ultimately sought treatment because of intractable vomiting. He reported feeling feverish, although he had not measured his temperature, and noted one episode of hemoptysis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297070PMC
http://dx.doi.org/10.1056/NEJMcps1610072DOI Listing

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