id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-009507-l74c9x0n	Singh, Amandeep	Clinicopathological Conference: Fever, Productive Cough, and Tachycardia in a 22‐year‐old Asian Male	2008-01-08		.txt	text/plain	4395	291	42	To generate the appropriate differential diagnosis in this case, there are several key features of the patient's history and physical examination that aid in the understanding of his pathologic process: 1) symptom development occurred soon after emigration from Indonesia, 2) the patient's primary symptoms were pulmonary in origin, and 3) secondary cardiac involvement resulted in a large, initially asymptomatic pericardial effusion. 10 Acute infection begins with sudden onset of one or more of the following: high fevers (up to 104-1058F), severe headache, general malaise, myalgia, confusion, sore throat, chills, sweats, nonproductive cough, nausea, vomiting, diarrhea, abdominal pain, and chest pain. In our patient, the most likely cause of the pericardial effusion was infection with tuberculosis. To summarize, this patient's recent immigration, symptoms of intermittent fever and of chronic cough that failed to respond to outpatient antibiotics, and development of large pericardial effusion all are consistent with a diagnosis of tuberculosis.	./cache/cord-009507-l74c9x0n.txt	./txt/cord-009507-l74c9x0n.txt