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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

Vomiting and Diarrhea in a 51-Year-Old Woman With Splenectomy*

Christina A. Muzny, MD; Charles L. Pearson, Jr, MD; G. Douglas Campbell, MD, FCCP; Stanley W. Chapman, MD
Author and Funding Information

*From the Divisions of Infectious Diseases (Drs. Muzny and Chapman) and Pulmonary/Critical Care and Sleep Medicine (Drs. Pearson and Campbell), Department of Medicine, University of Mississippi Medical Center, Jackson, MS.

Correspondence to: Christina A. Muzny, MD, Division of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, 2500 North State St, Jackson, MS 39216; e-mail: cmuzny@medicine.umsmed.edu



Chest. 2008;134(2):438-441. doi:10.1378/chest.07-2924
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A 51-year-old, previously healthy woman was transferred to our emergency department from an outside hospital with complaints of severe nausea and vomiting, diarrhea, and muscle cramps in her arms and legs that began several hours prior to presentation. Her medical history was significant for hypertension, dyslipidemia, and mitral valve prolapse. She underwent a splenectomy in 2004 secondary to trauma. She had received pneumococcal, meningococcal, and Haemophilus influenzae type b vaccines after the splenectomy. She was a health-care worker and lived in a rural area with her husband where they managed livestock. She denied tobacco, alcohol, or drug use. She was allergic to penicillin and had an anaphylactic reaction in the past. She had received a dose of ciprofloxacin and metronidazole at an outside hospital after blood and urine specimens had been drawn.

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