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Pulmonary and Critical Care Pearls |

Acute Respiratory Failure With Thrombocytopenia in a 47-Year-Old Woman After Hiking in the Sierras*

Viji Sankaranarayanan; Veronika Sharp; Stephen Ruoss
Author and Funding Information

*From the Department of Medicine (Dr. Sharp), Division of Pulmonary and Critical Care Medicine (Drs. Sankaranarayanan and Ruoss), Stanford University Medical School, Stanford, CA.

Correspondence to: Viji Sankaranarayanan, MD, Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, 300 Pasteur Dr, Room H3143, Stanford, CA 94305-5236; e-mail: vijisank@stanford.edu



Chest. 2003;124(2):754-757. doi:10.1378/chest.124.2.754
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Extract

A 47-year-old previously healthy woman presented to the emergency department with a 1-week history of fatigue and abdominal discomfort. Four days earlier, right flank pain developed with radiation to the groin, for which she was evaluated with CT scan of the abdomen and pelvis and treated with acetaminophen/hydrocodone for renal colic, though no renal stone was seen. Two days prior, she continued to have abdominal and back pain with nausea, nonbloody emesis, and temperature of 38.5°C. On evaluation, she reported a dry cough of 1 day in duration, but denied dyspnea or chest pain.

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