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Acute resiratory distress

Daisuke Nojima, Shinji Ozaki, Yasuhiro Fujii, Sae Wada, Katsuichiro Ono, Nobukazu Fujimoto, Kenichi Gemba, Takumi Kishimoto
An 87-year-old woman was admitted because of high fever, progressive dyspnea and abnormal shadows on chest roentgenogram. Laboratory investigation on admission demonstrated a normal white cell count with neutrophilia (4000/microl, 90.5% neutrophils), an erythrocyte sedimentation rate of 10 mm/h and C-reactive protein value of 9.0mg/dl. Roentgenogram and computed tomographic scan of the chest shows bilateral infiltration and diffuse ground glass opacity, indicating acute respiratory distress syndrome (ARDS), but disseminated nodules, indicating miliary tuberculosis, were not found...
March 2009: Nihon Kokyūki Gakkai Zasshi, the Journal of the Japanese Respiratory Society
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