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CPC Archives 1996-1999

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Year Case # Date Published Citation Diagnosis Specialties Patient History
1996 1 1/11/1996 N Engl J Med 1996; 334: 105-111 Subacute infective endocarditis, streptococcus group B. Aneurysm of the left sinus of Valsalva with rupture into pulmonary artery. Bicuspid aortic valve, with calcification and stenosis. Ear, Nose & Throat; Pulmonary/Thoracic Surgery; Infectious Disease A 69-year-old woman with severe, persistent congestive heart failure after treatment for bacteremia.
1996 2 1/18/1996 N Engl J Med 1996; 334: 176-182 Hepatocellular carcinoma, fibrolamellar variant. Hematology/Oncology A 32-year-old woman with left subcostal pain, bouts of fever, and a mass in the left hepatic lobe.
1996 3 1/25/1996 N Engl J Med 1996; 334: 255-260 Ectopic pregnancy, right fallopian tube, fimbrial. (Ovarian hyperstimulation syndrome. (Torsion of the left ovary and tube. (Intrauterine pregnancy. OB/Gyn A 31-year-old woman with a documented first pregnancy of four weeks' duration with severe pain in the left lower quadrant of the abdomen, nausea and vomiting.
1996 4 2/8/1996 N Engl J Med 1996; 334: 382-389 Chronic Schistosoma mansoni infection,with involvement of the large intestine and spinal cord. Infectious Disease A 40-year-old woman with recent onset of paraplegia.
1996 5 2/15/1996 N Engl J Med 1996; 334: 452-458 Angiosarcoma of the heart with pulmonary spread. Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 25-year-old man with persistent chest pain and dyspnea after an injury.
1996 6 2/22/1996 N Engl J Med 1996; 334: 521-526 Mycobacterium avium bronchiolitis. Pulmonary/Thoracic Surgery; Infectious Disease A 40-year-old man with persistent productive cough, dyspnea, and bilateral apical infiltrates.
1996 7 2/29/1996 N Engl J Med 1996; 334: 586-592 Focal cortical dysplasia. Neurology/Neurosurgery Pediatrics A right handed 8-year-old boy with intractable seizures.
1996 8 3/14/1996 N Engl J Med 1996; 334: 715-720 Demyelinating disease. Neurology/Neurosurgery A 28-year-old woman with rapid development of a major personality change and global aphasia.
1996 9 3/21/1996 N Engl J Med 1996; 334: 784-789 Vertebral tuberculosis. Orthopedics/Musculoskeletal; Infectious Disease A 21-year-old woman with thoracolumbar pain.
1996 10 3/28/1996 N Engl J Med 1996; 334: 849-854 Idiopathic granulatomous appendictitis, probable. ?Crohn's disease of the appendix. Primary Care; Gastroenterology/Abdominal Surgery A 36-year-old man with pain in the right lower quadrant of the abdomen and the lumbar region.
1996 11 4/11/1996 N Engl J Med 1996; 334: 973-979 Atheroembolism of the kidney and lungs. Nephrosclerosis. (? Renal artery stenosis, bilateral. Pulmonary/Thoracic Surgery; Nephrology A 69-year-old man with increasing dyspnea in the course of one day.
1996 12 4/18/1996 N Engl J Med 1996; 334: 1045-1051 Budd--Chiari syndrome. Protein C deficiency. Hematology/Oncology; Gastroenterology/Abdominal Surgery; Pediatrics A 18-year-old woman with hepatomegaly and ascites.
1996 13 4/25/1996 N Engl J Med 1996; 334: 1116-1123 Streptococcal pneumonia, fulminant, with sepsis. Sarcoidosis of the lungs, lymph nodes, and spleen. Infectious Disease; Pulmonary/Thoracic Surgery A 51-year-old man with adult respiratory distress syndrome.
1996 14 5/9/1996 N Engl J Med 1996; 334: 1254-1261 Invasive aspergillosis, probably bronchopneumonic, with angioinvasion and hematogenous dissemination. Toxic epidermal necrolysis. Dermatology A 66-year-old woman with possible toxic epidermal necrolysis.
1996 15 5/16/1996 N Engl J Med 1996; 334: 1316-1322 T-cell lymphoma high grade, disseminated, with jejunal perforation, consistent with enteropathy-associated T-cell lymphoma. Celiac disease. Hematology/Oncology; Gastroenterology/Abdominal Surgery; Cardiology/Cardiac Surgery A 79-year-old woman with anorexia, weight loss, dehydration and diarrhea.
1996 16 5/23/1996 N Engl J Med 1996; 334: 1389-1394 Tangier disease. Orthopedics/Musculoskeletal A 36-year-old left handed woman with progressive, bilateral hand weakness and numbness, bilateral facial weakness, and lossof truncal sensation.
1996 17 5/30/1996 N Engl J Med 1996; 334: 1461-1467 Pseudomembranous colitis associated with toxin producing C. difficile infection and cytomegalovirus colitis. Acquired immunodeficiency syndrome (AIDS). Infectious Disease A 48-year-old man with AIDS, admitted because of bloody diarrhea and severe abdominal pain.
1996 18 6/13/1996 N Engl J Med 1996; 334: 1591-1597 Langerhans'-cell histiocytosis, Letterer-Siwe subtype. Dermatology; Pediatrics; OB/Gyn A newborn boy with rash and respiratory distress.
1996 19 6/20/1996 N Engl J Med 1996; 334: 1655-1662 Acute veno-occlusive disease of the liver after bone marrow transplantation. Acute tubular necrosis, renal allograft. Transplantation; Hematology/Oncology A 33-year-old man with refractory acute myeloblastic leukemia, stage M1, admitted for a bone marrow transplantation.
1996 20 6/27/1996 N Engl J Med 1996; 334: 1726-1732 Congenital cystic adenomatoid malformation of the lung. Pulmonary/Thoracic Surgery A three-hour-old boy admitted to the intensive care unit after a premature delivery.
1996 21 7/11/1996 N Engl J Med 1996; 335: 115-122 Hodgkin's disease, nodular sclerosis type, involving multiple bones. Orthopedics/Musculoskeletal; Hematology/Oncology A 52-year-old man with severe back pain.
1996 22 7/18/1996 N Engl J Med 1996; 335: 189-196 Cerebral amyloid angiopathy. Neurology/Neurosurgery A 69-year-old right-handed woman with a left parieto-occipital hemorrhage during treatment with warfarin for transient cerebral ischemic attacks.
1996 23 7/25/1996 N Engl J Med 1996; 335: 266-273 Pulmonary amyloidosis, with diffuse aveolar sepatal and vascular involvement. Cardiac amyloidosis, probable. Multiple myeloma, probable. Pulmonary/Thoracic Surgery; Vascular Surgery A 62-year-old woman with progressive exertional dyspnea and reticulonodular pulmonary infiltrates.
1996 24 8/8/1996 N Engl J Med 1996; 335: 417-424 Alveolar proteinosis with marked interstitial scarring. Pulmonary/Thoracic Surgery A 54-year-old woman with radiologic evidence of pulmunary abnormalities.
1996 25 8/15/1996 N Engl J Med 1996; 335: 499-505 Tuberculous pleuritis. Infectious Disease A 38-year-old man with fever, cough and sweats.
1996 26 8/22/1996 N Engl J Med 1996; 335: 577-584 Carbamazepine hypersensitivity reaction. Pediatrics; Orthopedics/Musculoskeletal A 7-year-old boy with fever, lymphadenopathy, hepatosplenomegaly, and eosinophilia.
1996 27 8/29/1996 N Engl J Med 1996; 335: 650-655 Idiopathic retroperitoneal fibrosis. Gastroenterology/Abdominal Surgery A 31-year-old woman with pain in the left lumbar region and the left lower quadrant of the abdomen.
1996 28 9/12/1996 N Engl J Med 1996; 335: 807-812 Endometriosis of the sigmoid colon. OB/Gyn; Gastroenterology/Abdominal Surgery A 45-year-old woman (gravida 3, para 0) with increasing abdominal pain.
1996 29 9/19/1996 N Engl J Med 1996; 335: 876-881 Synovial chondromatosis. Gout. Orthopedics/Musculoskeletal; Ear, Nose & Throat; Primary Care A 59-year-old man with a painful preauricular mass.
1996 30 9/26/1996 N Engl J Med 1996; 335: 952-959 Intravascular lymphomatosis involving the brain and other organs. Venous angioma or anomaly, right parietal lobe. Capillary telangiectasias, left temporal lobe and cerebellum. Neurology/Neurosurgery; Vascular Medicine An 81-year-old right-handed man with progressive disorientation and repeated falls.
1996 31 10/10/1996 N Engl J Med 1996; 335: 1133-1140 Parainfluenza virus, type 3, pneumonia, with giant cells (giant-cell pneumonia). Infectious Disease; Pediatrics An 18-month-old boy with persistent cough and increasing tachypnea.
1996 32 10/17/1996 N Engl J Med 1996; 335: 1213-1220 Parathyroid carcinoma, with invasion of adjacent soft tissue. Hematology/Oncology A 44-year-old woman with hyperparathyroidism with a hypercalcemic crisis.
1996 33 10/24/1996 N Engl J Med 1996; 335: 1303-1307 Cutaneous infection due to Mycobacterium chelonae involving a tracheostomy stoma. Infectious Disease; Ear, Nose & Throat A 55-year-old man with obstructive sleep apnea, which has been managed by a long term tracheostomy, with acid-fast bacilli in stomal granulations.
1996 34 10/31/1996 N Engl J Med 1996; 335: 1378-1386 Sarcoidosis involving the heart, lungs, peribronchial lymph nodes, liver, and spleen. Arrhythmogenic right ventricular dysplasia. Lipomatous hypertrophy of the atrial septum. Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 50-year-old woman with cardiac arrest in ventricular fibrillation.
1996 35 11/14/1996 N Engl J Med 1996; 335: 1514-1521 T-cell lymphoma, anaplastic large-cell type ( lymphomatoid granulomatosis ) involving the lungs, liver and bone marrow. Herpes zoster dermatitis. Dermatology; Hematology/Oncology A 57-year-old woman with fever, sweats, neuropathy and multiple pulmonary nodules.
1996 36 11/21/1996 N Engl J Med 1996; 335: 1587-1595 Varicella-zoster leukoencephalitis with hemorrhage and large-vessel vasculopathy. Acquired Immunodeficiency syndrome. Infectious Disease; Neurology/Neurosurgery A 37-year-old right-handed man with AIDS admitted because of increasing confusion and disorientation.
1996 37 11/28/1996 N Engl J Med 1996; 335: 1668-1674 Noncaseating granulomas consistent with sarcoidosis. Neurology/Neurosurgery A 51-year-old man with visual instability and intracranial mass.
1996 38 12/12/1996 N Engl J Med 1996; 335: 1829-1834 Q fever, acute, (with cerebellar and meningeal involvement). Infectious Disease; Neurology/Neurosurgery Pediatrics An 18-year-old right-handed man with severe, persistent headache and the development of ataxia and slurred speech.
1996 39 12/19/1996 N Engl J Med 1996; 335: 1906-1914 Granulomatous encephalitis, secondary to Schistosoma mansoni infection. Infectious Disease; Neurology/Neurosurgery A 30-year-old right-handed man with tonic-clonic seizure and a left temporal-lobe mass.
1996 40 12/26/1996 N Engl J Med 1996; 335: 1974-1982 Bronchioloalveolar carcinoma, sclerosing variant, with fibroelastotic veno-occlusion. Bronchiectasis, fusiform. Pulmonary/Thoracic Surgery; Hematology/Oncology A 58-year-old man with respiratory distress and hypotension.
1997 1 1/9/1997 N Engl J Med 1997; 336: 118-125 Wilson's disease. OB/Gyn A 23-year-old man admitted because of fulminant hepatorenal failure.
1997 2 1/16/1997 N Engl J Med 1997; 336:205-210 Bartonella endocarditis, probably due to Bartonella quintana. Cardiology/Cardiac Surgery; Infectious Disease A 38-year-old schizophrenic man admitted because of digital clubbing and a cardiac murmer.
1997 3 1/23/1997 N Engl J Med 1997; 336: 277-284 Neutropenic enterocolitis. Gastroenterology/Abdominal Surgery; Hematology/Oncology A 39-year-old man admitted because of acute leukemia.
1997 4 1/30/1997 N Engl J Med 1997; 336: 357-364 Asthma, acute and chronic, with mucuous plugging, bronchiolitis obliterans, and chronic eosinophilic pneumonia. Pulmonary A 37-year-old man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital becuase of dyspnea and wheezing of three month's duration.
1997 5 2/13/1997 N Engl J Med 1997; 336: 492-499 Kikuchi's disease (histiocytic necrotizing lymphadenitis) Hematology/Oncology; Primary Care; OB/Gyn; Infectious Disease A 24-year-old Asian woman admitted because of left cervical lymphadenopathy and fever.
1997 6 2/20/1997 N Engl J Med 1997; 336: 567-573 Mesenteric venous thrombosis. Infarction of the small intestine. Gastroenterology/Abdominal Surgery A 69-year-old man admitted because of severe abdominal pain.
1997 7 2/27/1997 N Engl J Med 1997; 336: 641-647 Hereditary hemorrhagic telangiectasia (Osler--Weber--Rendu disease). Pediatrics; Hematology/Oncology; Gastroenterology/Abdominal Surgery A 14-year-old girl was admitted because of recurrent rectal bleeding.
1997 8 3/13/1997 N Engl J Med 1997; 336: 786-793 Nodular lymphoid hyperplasia and giardiasis. Diffuse large-cell, immunoblastic lymphoma. Hematology/Oncology; Gastroenterology/Abdominal Surgery A 65-year-old man was admitted because of severe abdominal pain and recurrent diarrhea.
1997 9 3/20/1997 N Engl J Med 1997; 336: 861-867 Carcinoid tumor, with pernicious anemia and atrophic gastritis. Neuroendocrine hyperplasia and dysplasia and gastric fundus. G-cell hyperplasia and gastric antrum Gastroenterology/Abdominal Surgery A 39-year-old woman was admitted because of a gastric mass and pernicious anemia.
1997 10 3/27/1997 N Engl J Med 1997; 336: 939-947 Alpha1-antitrypsin deficiency, PZ phenotype,; Genetic hemochromatosis and heterozygous phenotype, Micronodular cirrhosis of the liver, Alpha1-antitrypsin deficiency Gastroenterology/Abdominal Surgery A 68-year-old woman was admitted because of hepatic encephalopathy.
1997 11 4/10/1997 N Engl J Med 1997; 336: 1079-1088 Acute, critical-illness, myopathy, with loss of myosin filaments, induced by corticosteroid treatment Gastroenterology/Abdominal Surgery A 51-year-old man admitted because of respiratory failure.
1997 12 4/17/1997 N Engl J Med 1997; 336: 1163-1171 Oligodendroma, focally anaplastic, mixed with low-grade astrocytoma and multiple sclerosis Neurology/Neurosurgery A 50-year-old right handed woman with multiple sclerosis admitted because of an enlarging intracranial mass.
1997 13 4/24/1997 N Engl J Med 1997; 336: 1235-1241 Hodgkin's disease. Gastroenterology/Abdominal Surgery; Hematology/Oncology A 32-year-old-man was admitted because of IgG antibody and Coombs'-positive hemolytic anemia resistant to corticoid steroid treatment.
1997 14 5/8/1997 N Engl J Med 1997; 336: 1373-1379 Dysembryoplastic neuroepithelial tumor. Neurology/Neurosurgery A 30-year-old woman admitted because of intractable seizures.
1997 15 5/15/1997 N Engl J Med 1997; 336: 1439-1446 Placental vascular thrombosis due to listeria infection. Cerebral embolism and infarction. Infectious Disease; Pediatrics; OB/Gyn; Vascular Medicine A newborn boy was admitted becuase of respiratory depression.
1997 16 5/22/1997 N Engl J Med 1997; 336: 1512-1516 Papillary fibroelastoma of the pulmonic valve. Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 42-year-old woman was admitted beacuse of a mass in the pulmonic valve.
1997 17 5/29/1997 N Engl J Med 1997; 336: 1587-1594 Thrombotic microangiopathy (hemolytic uremic syndrome). Hemorragic gastroenteritis, probably due to Escherichia coli O157:H7 infection. Gastroenterology/Abdominal Surgery; Nephrology; Infectious Disease A 67-year-old woman was admitted because of azotemia with nausea, vomiting and bloody diarrhea.
1997 18 6/12/1997 N Engl J Med 1997; 336: 1738-1745 Diffuse large-B-cell lymphoma of the colon. Small-B-cell chronic lymphocytic lueukemia in lymph nodes. Paracolonic fibrosis, extensive, probably radiation-induced. Gastroenterology/Abdominal Surgery; Hematology/Oncology A 78-year-old man admitted because of a stricture of the sigmoid colon.
1997 19 6/19/1997 N Engl J Med 1997; 336: 1812-1819 Squamous-cell carcinoma, involving the tongue, lung, heart and pericardium, liver, and penis, metastatic probably from tongue, with pericardial constriction. Hematology/Oncology; Pediatrics A 57-year-old man admitted because of progressive edema and exertional dyspnea.
1997 20 6/26/1997 N Engl J Med 1997; 336: 1895-1902 Papillary adenocarcinoma of lung (asbestos related) with marked pleural mesothelial hyperplasia. Pulmonary/Thoracic Surgery A 74-year-old man was admitted to the hospital because of increasing dyspnea and a cough.
1997 21 7/10/1997 N Engl J Med 1997; 337: 115-122 Hodgkin's disease, nodular-sclerosis type, with paraneoplastic cerebellar degeneration. Hematology/Oncology Neurology/Neurosurgery A 67-year-old woman was admitted because of progressive choreiform disorder.
1997 22 7/17/1997 N Engl J Med 1997; 337: 184-190 Botulism. Infectious Disease A 58-year-old right handed woman was admitted because of multiple cranial neuropathies.
1997 23 7/24/1997 N Engl J Med 1997; 337: 260-267 Galactosialidosis. OB/Gyn; Pediatrics; Cardiology/Cardiac Surgery A newborn girl was admitted to intensive care because of premature birth and congenital ascites.
1997 24 7/31/1997 N Engl J Med 1997; 337: 329-336 Duodenal submucosal lipoma with intussusception. Gastroenterology/Abdominal Surgery; Pediatrics A 6-year-old boy was admitted because of abdominal pain with vomiting and weight loss.
1997 25 8/14/1997 N Engl J Med 1997; 337: 480-489 Busulfan pneumonitis. Hematology/Oncology; Nephrology; Pulmonary/Thoracic Surgery A 60 -year-old man was admitted because of a pulmonary infiltrate.
1997 26 8/21/1997 N Engl J Med 1997; 337: 549-556 Progressive supranuclear palsy. Neurology/Neurosurgery A 64-year-old man was admitted to the Memory Disorders Clinic because of progressive dementia, seizures, and an unstable gait.
1997 27 8/28/1997 N Engl J Med 1997; 337: 619-627 Granulomatous Pneumocystis carinii pneumonia with cavitation. Acquired immunodeficiency syndrome (AIDS). Infectious Disease; Pulmonary/Thoracic Surgery A 38-year-old man was admitted because of increasing dyspnea, chest pain, and an undiagnosed pulmonary process.
1997 28 9/11/1997 N Engl J Med 1997; 337: 770-777 Thrombotic nonbacterial endocarditis of the aortic valve, with cerebral, renal, and splenic emboli and multiple infarcts. Carcinoma of ovary, serious, stage IV. Carcinoma of the breast, bilateral. Pulmonary/Thoracic Surgery; Hematology/Oncology; Cardiology/Cardiac Surgery; OB/Gyn A 67-year-old woman was admitted because of nausea and increasing confusion.
1997 29 9/18/1997 N Engl J Med 1997; 337: 839-845 Skeletal, muscle infarction associated with diabetes mellitus. Orthopedics/Musculoskeletal A 54-year-old woman was admitted because of pain and swelling of the right leg.
1997 30 9/25/1997 N Engl J Med 1997; 337: 916-924 Pulmonary interstitial emphysema , localized, persistent. Pulmonary/Thoracic Surgery; Pediatrics; OB/Gyn An 18-day-old girl was admitted because of a left pneumothorax and cystic changes in the left lung.
1997 31 10/9/1997 N Engl J Med 1997; 337: 1065-1074 Post-transplantation lymphoproliferative disorder, monomorphic B-cell type, with bronchiolitis obliterans. Pulmonary/Thoracic Surgery A 67-year-old man was admitted because of fever and dyspnea.
1997 32 10/16/1997 N Engl J Med 1997; 337: 1149-1156 Rocky Mountain spotted fever with meningoencephalitis, alomyelitis, vasculitis, and focal myocarditis. Neurology/Neurosurgery Infectious Disease; Vascular Medicine; Cardiology A 43-year-old woman was admitted in early June because of possible adult respiratory distress syndrome.
1997 33 10/23/1997 N Engl J Med 1997; 337: 1220-1226 Foreign-body reaction, due to inhalation, with purulent bronchiectasis and chronic organizing pneumonia. Pulmonary/Thoracic Surgery; Primary Care; Ear, Nose & Throat A 75-year-old man with chest pain, hemoptysis, and a pulmonary lesion.
1997 34 10/30/1997 N Engl J Med 1997; 337: 1293-1301 Sickle cell anemia. Aseptic necrosis of femoral head and pulmonary bone marrow and fat embolism to the lungs. extensive with superimposed thrombosis. Chronic and accute cor pulmonale. Hematology/Oncology; Pulmonary/Thoracic Surgery; Orthopedics/Musculoskeletal A 22-year-old man was admitted because of respiratory distress and fever.
1997 35 11/13/1997 N Engl J Med 1997; 337: 1449-1458 Wegener's granulomatosis. Amiodarone-induced pneumonitis. Pulmonary/Thoracic Surgery A 65-year-old woman was admitted because of a persistent dry cough, diarrhea, and paroxysmal atrial fibrillation with orthostatic hypotension.
1997 36 11/20/1997 N Engl J Med 1997; 337: 1532-1540 Fulminant colitis and toxic megacolon complicating subtotal ulcerative colitis. Gastroenterology/Abdominal Surgery A 58-year-old man with ulcerative colitis was admitted because of bloody stools and fever.
1997 37 11/27/1997 N Engl J Med 1997; 337: 1612-1619 Whipple's disease, involving the small intestine and mesenteric and mediastinal lymph nodes. Hematology/Oncology; Gastroenterology/Abdominal Surgery A 58-year-old man was admitted because of anorexia, fatigue, weight loss, and a mediastinal mass.
1997 38 12/11/1997 N Engl J Med 1997; 337: 1753-1760 Accute erythroleukemia (chemotherapy-related). Hodgkin's disease (treated). Relapsing polychondritis. Hematology/Oncology; Ear, Nose & Throat; Orthopedics/Musculoskeletal A 41-year-old man was admitted to the hospital because of fever of three weeks' duration.
1997 39 12/18/1997 N Engl J Med 1997; 337: 1829-1837 Diffuse, large-B-cell type lymphoma, with subarachnoid and peripheral nerve involvement (neurolymphomatosis). Hematology/Oncology; Orthopedics/Musculoskeletal A 67-year-old woman was admitted because of back pain and weakness of the legs.
1997 40 12/25/1997 N Engl J Med 1997; 337: 1904-1912 Accute megakaryoblastic leukemia (accute myeloid leukemia, M7 type). Mediastinal germ cell tumor with focal megakaryoblastic differentiation. Hematology/Oncology A 23-year-old man was admitted for treatment of a mediastinal tumor.
1998 1 1/15/1998 N Engl J Med 1998; 338: 112-119 Cat scratch disease with encephalitis (Bartonella quintana) Pediatrics A 11-year-old right-handed boy was admitted to the hospital because of a seizure.
1998 2 1/22/1998 N Engl J Med 1998; 338: 180-188 Organizing subdural hygroma (consistent with the presence of spontaneous intracranial hypotension). Neurology/Neurosurgery A 50-year-old right-handed woman was admitted to the hospital with worsening headache and a left abducent-nerve palsey.
1998 3 1/29/1998 N Engl J Med 1998; 338: 248-254 Peritoneum tuberculosis (Mycobacterium tuberculosis) OB/Gyn A 31-year-old woman was admitted to the hospital because of fever, cough, questionable pneumonia of the lower left lobe with a left pleural effusion, and ascites.
1998 4 2/12/1998 N Engl J Med 1998; 338: 313-319 Eales' disease with mediastinal tuberculosis (Mycobacterium tuberculosis) Ophthalmology A 32-year-old man was admitted to the hospital because of unilateral vitreous hemorright-handedage and mediastinal lymphadenopwas admitted to the hospitaly.
1998 5 2/19/1998 N Engl J Med 1998; 338: 453-461 Myelodysplastic syndrome (refractory anemia with excess blasts in transformation) with immature myeloid cells infiltrating the lungs. Desquamative interstitial pneumonitis. Pulmonary/Thoracic Surgery A 51-year-old man with refractory anemia and excess blasts in transformation was admitted to the hospital because of fever, dyspnea, and a pulmonary infiltrate.
1998 6 2/26/1998 N Engl J Med 1998; 338: 532-539 Hemophilia A with hemarthrosis Hematology/Oncology A 6-year-old boy was admitted to the hospital because of a painful hip.
1998 7 3/12/1998 N Engl J Med 1998; 338: 603-610 Dementia with Lewy bodies. Anaplastic astrocytoma involvingthe right temporal region. Neurology/Neurosurgery A 74-year-old right-handed man was admitted to the hospital because of slowly progressive motor and cognitive difficulties and a right insular lesion.
1998 8 3/19/1998 N Engl J Med 1998; 338: 747-754 Sarcoidosis, involving the spinal cord and mediastinal lymph nodes. Neurology/Neurosurgery A 41-year-old man was admitted to the hospital because of leg weakness and mediastinal lyphadenopwas admitted to the hospitaly.
1998 9 3/26/1998 N Engl J Med 1998; 338: 821-826 Amniotic fluid embolism, placenta accreta with focal placenta increta. Uterus rupture during delivery. OB/Gyn A 38-year-old woman (gravida 5, para 1) was admitted to the hospital in spontaneous labor.
1998 10 4/9/1998 N Engl J Med 1998; 338: 897-903 Syphilitic aortitis with coronary ostial stenosis . Cardiology/Cardiac Surgery A 46-year-old man was admitted to the hospital because of unstable angina pectoris.
1998 11 4/16/1998 N Engl J Med 1998; 338: 1051-1058 Respiratory bronchiolitis with peribronchiolitis with smooth-muscle hyperplasia and emphysema. Pulmonary/Thoracic Surgery A 35-year-old woman was admitted to the hospital because of obstructive pulmonary disease with cystic changes on computed tomographic (CT) examination of the chest.
1998 12 4/23/1998 N Engl J Med 1998; 338: 1138-1143 Xanthoma disseminatum involving skin, larynx and pituitary gland. Dermatology A 68-year-old man was admitted to the hospital because of laryngeal stenosis.
1998 13 4/30/1998 N Engl J Med 1998; 338: 1212-1219 Chronic inflammatory demyelinating polyradiculopathy. Neurology/Neurosurgery A 23-year-old man was seen in clinic because of progressive weakness and paresthesias.
1998 14 5/14/1998 N Engl J Med 1998; 338: 1293-1301 Lymphocytic interstitial pneumonitis with primary biliary cirrhosis Pulmonary/Thoracic Surgery A 49-year-old woman was admitted to the hospital because of interstitial lung disease.
1998 15 5/21/1998 N Engl J Med 1998; 338: 1448-1456 Subacute sclerosing panencephalitis. Neurology/Neurosurgery A 34-year-old right-handed woman was admitted to the hospital because of progressive confusion and visual loss.
1998 16 5/28/1998 N Engl J Med 1998; 338: 1527-1535 Psittacosis with atypical pneumonia and acute respiratory distress syndrome Pulmonary/Thoracic Surgery A 24-year-old man was admitted to the hospital because of acute respiratory distress syndrome.
1998 17 6/11/1998 N Engl J Med 1998; 338: 1608-1616 Cardiac-allograft arterioscerosis, with old and accute myocardial infarction, and a cardiac failure. Cardiology/Cardiac Surgery A 53-year-old man was admitted to the hospital with left ventricular dysfunction four years after receiving a cardiac transplant.
1998 18 6/18/1998 N Engl J Med 1998; 338: 1752-1758 Severe combined immunodeficiency due to adenosine deaminase deficiency . Hematology/Oncology A 54-day-old girl was admitted to the hospital because of recurrent respiratory distress and failure to gain weight.
1998 19 6/25/1998 N Engl J Med 1998; 338: 1830-1836 Clostridium difficile reactive arthritis. Immunology/Allergy A 70-year-old man was admitted to the hospital because of polyarthritis.
1998 20 7/9/1998 N Engl J Med 1998; 338: 1905-1913 Cardiac and pulmonary amyloidosis with alveolar-septal and vascular involvement in the lung, consistent with primary systemic type. Pulmonary hematoma, ? due to amyloid angiopathy. Pulmonary/Thoracic Surgery; Vascular Medicine; Cardiology A 53-year-old man with cardiac amyloidosis was admitted to the hospital because of hemoptysis and a pulmonary lesion.
1998 21 7/16/1998 N Engl J Med 1998; 339: 105-112 Rabies. Infectious Disease A 32-year-old woman was admitted to the hospital because of paresthesias and pharyngeal spasms.
1998 22 7/23/1998 N Engl J Med 1998; 339: 182-190 Becker's muscular dystrophy involving skeletal muscle and myocardium. Neurology/Neurosurgery A 22-year-old man was seen in the neurology clinic because of an unexplained creatine kinase elevation.
1998 23 7/30/1998 N Engl J Med 1998; 339: 254-261 High-grade B-cell lymphoma involving the bone marrow, spleen, retroperitoneum, mediastinum, pancreas, meninges and nerve roots. Fat embolism pulmonary and systemic associated with malignant lymphoma and corticosteroid treatment, with bone marrow with bone Hematology/Oncology A 74-year-old man was admitted to the hospital because of recurrent lymphoma, with paraplegia.
1998 24 8/13/1998 N Engl J Med 1998; 339: 329-337 Cholesterol embolism involving the gastrointestinal tract (and causing the blue-toe syndrome). Primary Care A 76-year-old woman was admitted to the hospital because of gastrointestinal blood loss and worsening anemia.
1998 25 8/20/1998 N Engl J Med 1998; 339: 459-466 Necrosis of the anterolateral papillary muscle of the left ventricle, with mitral regurgitation (after aortic-valve replacement because of acute endocarditis ). Cardiology/Cardiac Surgery A 39 -year-old man was admitted to the hospital because of worsening dyspnea and increasing mitral regurgitation after replacement of the aortic valve for acute bacterial endocarditis.
1998 26 8/27/1998 N Engl J Med 1998; 339: 542-549 Demyelinating process consistent with the presence of multiple sclerosis. Neurology/Neurosurgery A 15-year-old right-handed girl was admitted to the hospital because of hemiparesis, slurred speech and urinary retention.
1998 27 9/10/1998 N Engl J Med 1998; 339: 616-622 Eosinophilic cystitis. Urology A 10-year-old girl was admitted to the hospital because of urinary retention.
1998 28 9/17/1998 N Engl J Med 1998; 339: 755-763 Wegener's granulomatosis with involvement of sinuses skull and cranial nerves. Immunology/Allergy A 64-year-old man was admitted to the hospital because of a productive cough during treatment for a suspected Wegener's granulomatosis.
1998 29 9/24/1998 N Engl J Med 1998; 339: 831-837 Granulomatous hepatitis due to intravesical instillation of BCG for urinary bladder carcinoma. Infectious Disease A 57-year-old man referred to this hospital because of fever and jaundice.
1998 30 10/8/1998 N Engl J Med 1998; 339: 906-913 Glomerulopathy with preeclampsia and the nephrotic syndrome in a patient with a history of disseminated lupus erythematosus. Small, hypermature placenta with decided necrotizing vasculopathy. OB/Gyn; Vascular Medicine A 30-year-old woman (gravida 2, para 0) was admitted to the hospital at 27 weeks' gestation because of increasing hypertension and proteinuria.
1998 31 10/15/1998 N Engl J Med 1998; 339: 1144-1151 Foreign body aspiration with bronchiectasis and pulmonary atelectasis and fibrosis. Pediatrics An 8-year-old boy was admitted to the hospital because of a history of respiratory problems and evidence of bronchiectasis.
1998 32 10/22/1998 N Engl J Med 1998; 339: 1228-1236 Chronic necrotozing pulmonary aspergillosis, with elements of bronchocentric granulomatosis. Pulmonary/Thoracic Surgery An 83-year-old woman was admitted to the hospital because of asthma complicated by pneumonia that was unresponsive to antibiotic treatment.
1998 33 10/29/1998 N Engl J Med 1998; 339: 1308-1317 Atypical lupus nephritis with extensive tubulointerstiial immune deposits. Accute tubular necrosis. Lupus necrotizing lymphadenitis. Immunology/Allergy A 29-year-old woman was admitted to the hospital because of necrotizing lymnphadenitis followed by nephrotic syndrome.
1998 34 11/12/1998 N Engl J Med 1998; 339: 1457-1465 Acute bacterial endocarditis (due to Staphylococcus aureus infection), involving the aortic and mitral valves with subannular abcess, the formation of fistulas between the atria and between the right atrium and left ventricle, and involvement of the bundl Cardiology/Cardiac Surgery A 71-year-old woman was admitted to the hospital because of fever, dyspnea, and hypotension.
1998 35 11/19/1998 N Engl J Med 1998; 339: 1534-1541 Sarcoidosis involving spinal cord, brain, lung and mediastinal lymph nodes. Neurology/Neurosurgery A 54-year-old, left-handed woman was admitted to the hospital because of pain and parwas admitted to the hospitalesias in the legs and a gait disturbance.
1998 36 11/26/1998 N Engl J Med 1998; 339: 1619-1626 Kawasaki's disease with myocarditis, coronary artery dilatation and renal failure. Pediatrics A 11-year-old girl was admitted to the hospital because of fever, hypotension, and azotemia.
1998 37 12/10/1998 N Engl J Med 1998; 339: 1766-1772 Thrombocytopenia with iron-deficiency anemia ? due to ranitidine therapy Hematology/Oncology A 41-year-old woman was admitted to the hospital because of thrombocytopenia and anemia.
1998 38 12/17/1998 N Engl J Med 1998; 339: 1835-1843 Acquired immunodeficiency syndrome (AIDS) with disseminated histoplasmosis. Infectious Disease A 19-year-old man was admitted to the hospital because of a febrile illness.
1998 39 12/24/1998 N Engl J Med 1998; 339: 1914-1923 Encephalopathy syndrome of mitochondrial encephalopathy lactic acidosis and stroke-like episodes (MELAS) Neurology/Neurosurgery A 13-year-old right-handed girl was admitted to the hospital because of a relapsing-remitting neurological disorder.
1998 40 12/31/1998 N Engl J Med 1998; 339: 2005-2012 Transfusion-related acute lung injury. Thrombotic thrombocytopenic purpura. Pulmonary/Thoracic Surgery A 49-year-old right-handed woman was admitted to the hospital because of a hemorright-handedagic stroke and mutism.
1999 1 1/14/1999 N Engl J Med 1999; 340: 127 -135 Acute hemorrhagic leukoencephalitis Neurology/Neurosurgery A 53-year-old right handed man was admitted to the hospital in December because of fever and an altered mental state.
1999 2 1/21/1999 N Engl J Med 1999; 340: 215-221 Acute pancreatitis complicating inflammatory bowel disease, probably ulcerative colitis Pediatrics; Gastroenterology; Gastroenterology/Abdominal Surgery; Pediatrics A 15-year-old girl was referred to the hoispital because of abdominal pain and bloody stools.
1999 3 1/28/1999 N Engl J Med 1999; 340: 300-307 Hepatitis C. Type II cryoglobulinemia. Vasculitis. B-Cell lymphoma, low grade. (Mononeuritis multiplex). Neurology; Infectious Disease; Hematology/Oncology A 41-year-old woman was admitted to the hospital because of muscle weakness, painful paresthesias, and transient visual problems.
1999 4 2/11/1999 N Engl J Med 1999; 340: 455-464 Scleroderma overlap syndrome with pulmonary vasculopathy and malignant pulmonary hypertension accelerated during puerperium. Cardiology; Pulmonary; OB/Gyn; Pulmonary/Thoracic Surgery A 38-year-old woman (gravida 3, para 2) was admitted to the hospital because of left-sided chest pain.
1999 5 2/18/1999 N Engl J Med 1999; 340: 545-554 Tuberculosis, disseminated, with lymph-node involvement. HIV infection, acute seroconversion. Infectious Disease; Pulmonary A 37-year-old man was admitted because of fever, chills, and diffuse lymphadenopathy.
1999 6 2/25/1999 N Engl J Med 1999; 340: 635 -641 (Cogan's syndrome). Panaortitis, chronic, active, with segmental medial necrosis and aneurysmal formation. (Aortic insufficiency). Rheumatology; Cardiology; Opthamology; Cardiology/Cardiac Surgery A 17 1/2-year-old girl was admitted to the hospital because of thoracoabdominal aneurysm.
1999 7 3/11/1999 N Engl J Med 1999; 340: 789-796 Cutaneous melanoma metastasized to the gastrointestinal tract, with protein-losing enteropathy. Adrenal cortical adenoma. Oncology; Hematology/Oncology A 50-year-old woman was admitted to the hospital because of diarrhea that had developed during radiation treatment.
1999 8 3/18/1999 N Engl J Med 1999; 340: 869-876 Enteric fever due to Salmonella typhi. Infectious Disease A 28-year-old man was admitted to the hospital because of gram-negative sepsis.
1999 9 3/25/1999 N Engl J Med 1999; 340: 945-953 Wegener's granulomatosis with pachymeningeal granulomatous inflammation. Neurology/Neurosurgery; Infectious Disease A 75-year-old woman was admitted to the hospital because of weakness and a tendency to fall.
1999 10 4/8/1999 N Engl J Med 1999; 340: 1099-1106 Signet-ring-cell carcinoma of the stomach, with widespread metastases, including leptomeningeal carcinomatosis. Disseminated intravascular coagulation. Cerebral cortico-subcortical infarcts. Oncology; Gastroenterology, Pulmonary; Neurology; Hematology/Oncology; Neurosurgery , Gastroenterology/Abdominal Surgery A 53-year-old man was admitted to the hospital because of acute renal failure, with cortical blindness and respiratory distress.
1999 11 4/15/1999 N Engl J Med 1999; 340: 1188-1196 High-grade, Burkitt-like B-cell lymphoma, probably arising in soft tissue. Nocardosis. Oncology; Orthopaedics; Hematology/Oncology; Gastroenterology/Abdominal Surgery A 60-year-old woman was admitted to the hospital because of lumbar pain and incontinence of the bladder and bowel.
1999 12 4/22/1999 N Engl J Med 1999; 340: 1269-1277 Multisystem neurodegenerative disease (characterized by neurofibrillary changes and few plaques), findings consistent with dementia pugilistica. Neurology/Neurosurgery A 67-year-old right handed man was admitted to the hospital because of increasing dementia.
1999 13 4/29/1999 N Engl J Med 1999; 340: 1349-1354 Tuberculosis otitis media. Otolaryngology, Infectious Disease A 20-year-old woman was admitted to the hospital because of chronic right otitis media.
1999 14 5/13/1999 N Engl J Med 1999; 340: 1491-1497 Lupus lymphadenitis consistent with the presence of systemic lupus erythematosus. Pediatrics; Rheumatology; Immunology/Allergy A nine-year-old girl was admitted to the hospital because of fever and cervical lymphadenopathy.
1999 15 5/20/1999 N Engl J Med 1999; 340: 1571-1579 Dissecting aortic aneurysm, with rupture into the epicardium, interatrial septum, right ventricular outflow tract, and lungs. Acute myocardial infarction of the right ventricular outflow tract. Severe coronary artery disease. Moderate cardiac and pulmo Cardiology/Cardiac Surgery; Endocrinology; Pulmonary/Thoracic Surgery A 77-year-old man wa admitted to the hospital because of syncope and hemoptysis.
1999 16 5/27/1999 N Engl J Med 1999; 340: 1661-1669 Lymphoplasmacytic lymphoma with motor neuronopathy. Waldenstrom's macroglobulinemia. Neurology; Hematology/Oncology; Neurosurgery A 71-year-old right-handed man was admitted to the hospital because of progressive muscle weakness and difficulty swallowing.
1999 17 6/10/1999 N Engl J Med 1999; 340: 1819-1826 Sepsis due to Capnocytophaga canimorus infection, complicating asplenia. Infectious Disease; Dermatology A 42-year-old man was admitted to the hospital because of gram-negative sepsis.
1999 18 6/17/1999 N Engl J Med 1999; 340: 1900-1908 Antiphospholipid-antibody syndrome, with ischemic renal damage and acute interstitial nephritis. Nephrology A 54-year-old woman was admitted to the hospital because of acute renal failure and thrombocytopenia.
1999 19 6/24/1999 N Engl J Med 1999; 340: 198-1988 Cryptococcal osteomyelitis. Orthopedics/Musculoskeletal; Infectious Disease; Transplantation A 55-year-old man was admitted to the hospital because of a painful right tibial lesion.
1999 20 7/8/1999 N Engl J Med 1999; 341: 110-116 Systemic lupus erythematosus with features of Wegener's granulomatosis. Pediatrics; Rheumatology; Immunology/Allergy; Ophthalmology A 16-year-old girl was admitted to the hospital because of fever, rash, and severe ocular disease.
1999 21 7/15/1999 N Engl J Med 1999; 341: 182-190 Pulmonary talcosis , with liquified mineral in a cavitated tumor-like mass, granulomatous inflammation, and sclerosis. Pulmonary; Pulmonary/Thoracic Surgery A 69-year-old man was admitted to the hospital because of the radiologic finding of pulmonary nodules.
1999 22 7/22/1999 N Engl J Med 1999; 341: 265-273 Mucormycosis of the nose, sinuses and orbit (rhizopus infection). Multiple myeloma. (Diabetes mellitus). Ear Nose & Throat; Infectious Disease; Ophthalmology A 68-year-old woman with refractory multiple myeloma was admitted to the hospital because of pancytopenia with bleeding.
1999 23 7/29/1999 N Engl J Med 1999; 341: 353-360 Pulmonary tuberculosis, infantile. Pediatrics; Pulmonary; Infectious Disease A 10-month-old girl was admitted to the hospital because of fever and a rash.
1999 24 8/12/1999 N Engl J Med 1999; 341: 512-519 Multifocal inflammatory leukoencephalopathy related to combination chemotherapy with fluorouracil and levamisole. Neurology; Opthamology; NeuroSurgery; Hematology,/Oncology A 65-year-old man was admitted to the hospital because of impaired cognition and a gait disorder.
1999 25 8/19/1999 N Engl J Med 1999; 341: 593-599 Familial Mediterranean Fever. Pediatrics; Gastroenterology; Gastroenterology/Abdominal Surgery A 16-year-old boy presented to the hospital as an outpatient because of recurrent abdominal pain.
1999 26 8/26/1999 N Engl J Med 1999; 341: 679-684 Pancreatic heterotopia involving the gastric pylorus, with acute pancreatitis. (Hypertrophic pyloric obstruction). Pediatrics; Surgery; Gastroenterology/Abdominal Surgery A three-week-old girl was admitted tothe hospital for the treatment of hypertrophic pyloric stenosis.
1999 27 9/9/1999 N Engl J Med 1999; 341: 827-834 Miliary tuberculosis, with granulomatous hepatitis. Pulmonary; Infectious Disease An 82-year-old woman was admitted to the hospital because of staphylococcus aureus bacteremia and acute renal failure.
1999 28 9/16/1999 N Engl J Med 1999; 341: 901-908 Creutzfeldt-Jakob disease. Neurology/Neurosurgery A 68-year-old woman was admitted to the hospital because of rapidly progressive dementia and a gait disorder.
1999 29 9/23/1999 N Engl J Med 1999; 341: 974-982 Bilateral pulmonary echinococcal cysts. Pulmonary; Infectious Disease; Pulmonary/Thoracic Surgery A 34-year-old woman was referred to the hospital because of an intermittent cough and hemoptysis.
1999 30 9/30/1999 N Engl J Med 1999; 341: 1063-1071 Diffuse large-B-cell lymphoma of the ileum. Gastroenterology/Abdominal Surgery; Hematology/Oncology An 86-year-old man was admitted because of gastrointestinal bleeding with abdominal pain.
1999 31 10/14/1999 N Engl J Med 1999; 341: 1217-1224 Cardiac hamartoma of the left ventricle (with wide-complex tachycardia). Cardiology/Cardiac Surgery A 33-year-old man admitted because of a wide-complex tachycardia.
1999 32 10/21/1999 N Engl J Med 1999; 341: 1292-1299 Tracheopathia osteoplastica Pulmonary/Thoracic Surgery A 44-year-old man was admitted because of tracheal stenosis.
1999 33 10/28/1999 N Engl J Med 1999; 341: 1379-1385 Lipoid pneumonia. Pulmonary/Thoracic Surgery A 57-year-old woman was admitted because of a pulmonary mass in the left lower lobe.
1999 34 11/11/1999 N Engl J Med 1999; 341: 1529-1537 Celiac disease with hepatic abnormalities. Duodenitis, erosive. Gastroenterology/Abdominal Surgery A 37-year-old woman was referred to the gastro-intestinal unit because of abnormal results of liver function tests.
1999 35 11/18/1999 N Engl J Med 1999; 341: 1597-1603 Juvenile capillary hemangioma of the stomach. Gastroenterology/Abdominal Surgery; Pediatrics A five-month-old girl was admitted to the hospital because of coffee-grounds vomitus and a gastric lesion.
1999 36 11/25/1999 N Engl J Med 1999; 341: 1680-1685 Subdiaphragmatic extralobar sequestration of the lung with congenital cystic adenomatoid malformation. Pediatrics; Pulmonary/Thoracic Surgery A 32-day-old girl was admitted to the hospital because of a retroperitoneal mass.
1999 37 12/9/1999 N Engl J Med 1999; 341: 1829-1835 Thrombosis of St. Jude Medical aortic valve. Hemorrhage of the right inferior parietal lobule. Coronary artery disease. Healed posterior, septal myocardial infarct. Cardiology/Cardiac Surgery A 72-year-old, right handed woman was admitted to the hospital because of slurred speech and agitation.
1999 38 12/16/1999 N Engl J Med 1999; 341: 1913-1921 Pseudoaneurysms, infective (Staphylococcus aureus) of the right external iliac and common femoral arteries following catheterization of the right femoral artery. Septic arthritis and osteomyelitis of right ankle (calcaneus and fibula). Immunology/Allergy; Orthopedics/Musculoskeletal; Infectious Disease A 62-year-old woman was admitted to the hospital because of a foot infection
1999 39 12/23/1999 N Engl J Med 1999; 341: 1996-2003 Guillain-Barre' syndrome. Campylobacter jejuni enteritis. Infectious Disease; Neurology/Neurosurgery A 74-year-old woman with acute progressive paralysis after diarrhea for one week.
1999 40 12/30/1999 N Engl J Med 1999; 341: 2075-2083 Cellular interstitial pneumonitis. Pulmonary/Thoracic Surgery A four-month-old girl with chronic cyanosis and diffuse pulmonary infiltrates.