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Roentgenogram of the Month |

A Patient With New-Onset Seizure and Mediastinal Adenopathy*

Mylene T. Truong, MD; Bradley S. Sabloff, MD; Reginald F. Munden, DMD, MD; Jeremy J. Erasmus, MD
Author and Funding Information

*From the Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX.

Correspondence to: Mylene T. Truong, MD, Department of Diagnostic Radiology, Box 57, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030; e-mail: mtruong@mdanderson.org



Chest. 2004;126(3):982-985. doi:10.1378/chest.126.3.982
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Extract

A 41-year-old woman from Austin, TX, presented with a new-onset generalized seizure that lasted for 3 min. In the emergency department, she had no respiratory, cardiac, or GI symptoms. She gave a history of extensive travel to Central and South America, with the most recent trip having taken place 4 months earlier to a chicken farm in Panama. Her medical history was significant for hypothyroidism, and the only medication she was receiving was levothyroxine sodium (Synthroid; Abbott Laboratories; Abbott Park, IL). She had received the bacillus Calmette-Guerin vaccine as a child and had exposure to tuberculosis at the age of 12 years from a family member.

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