A 21-year-old woman presented with fevers, headache, and myalgias after returning from travel to Indonesia. She had pulmonary rales, abdominal tenderness, rash, and conjunctival injection. Hypoxemia and acute kidney injury developed. A diagnostic test was performed.
This case was presented at the Medical Case Conference.
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This article was updated on July 20, 2017, at NEJM.org.
Source Information
From the Departments of Medicine (J.T.C., E.P.H.), Radiology (R.H.), and Pathology (S.E.T.), Massachusetts General Hospital, and the Departments of Medicine (J.T.C., E.P.H.), Radiology (R.H.), and Pathology (S.E.T.), Harvard Medical School — both in Boston; and the Department of Medicine, Alpert School of Medicine, Brown University, Providence, RI (F.J.S.).