- BFT “ss Laboratory Values on Admission: BUN 13, creatinine 1.3, sugar 98, any Lase 46, phosphatase 50, total protein: a5; padbunin: doy stonbadqbdKSsybdyu0 “hy®SGPT, SGOT and LDH all normal, uric acid 5.8. While being treated with cytosine arabinoside the SGPT and SCOTIv 9 6, Our Ot THE TOTGKT SERGE UNG -dewctr BiTLrubin . elevations td as High™ as 6 SS Gell .° Tifefetwas never any evidence of disseminated intra- . vascular coagulatic® on twite@oweeklg@iagulatiom{ Screening tests. 10> 0°06% OST * 3 i: OOE oot 0° 08st OOct Problem No, 2 - rifou Seah: t , Clinically, ee patienpwas eughygoid. Thypoxine level was 3.7. hospital stay he was continued on Lothyroxine, &3 mg. daily. sO GZ Problem No. 3° ogieis MedSif 0°00 $6 O°0ST ce ‘O° O09 SOT Tae-patient Br treated with o€s@ffilin and 2» covet seven says with resolution of his 1 . 00°O > Probled0N®. 6 - Periodontitis: local . " ental consultant ‘recommended manag - Throughout his oe. — Ste a ee7 — oS Yentamictn followed by snotcillin for otitis. OEzT Ost t _ ij ue ~~ 4 | ot og OSOT a TR s molar periodontitis with + frequent igvege, which was done under his supervi » i The initial inflammation resolved | ; after several days, but during the last three weeks of his hospitalizationskadhad severa : peridog@a#i inflammation, worse on the right. Itvmddition, a right subauricwkar swelling : appegredTate in the second hospital week and persisted until the time of death. Ear, . nose asi ‘etrroat consultant thought this represented parotitis, but reactive adenopathy from the periodongig¢is could gt, be excluded. During the last three weeks of hospitalization he was on ee continual ant biotic treatment with oxacillin and gentamicin or keflin and gente og Nov were cultured ar e‘blog t, Thes mouth as well *@ likely-gource 78 ProteufSnirabilis and Pasteurella multicida : isms previously been cyltured from the @epsia waa,his periodontitis. He continued to be febrile througksoat the nest of thedgospictal ggyurse, but_ Subsequent blood cultures Ct et ee eet OOE, el ett 9S. - .OL0TZ — were sterile. _— T No. - 0° Er. -rlebentsnd 7 7 : ee me, le gt gv OM OME SepTe wy anes Ost roe * “23 oe *o8y oe ee . Tet > sit we . oo my wo te Sarr 7 -"6°UE cyanotic nail . . , On November } ghe patiest bad cue-negatius,Tsepsis: on November 8 he‘complained ofa brassy cough}° on Noveriér 9 hedwes generakky tachypneic and quite anxious, with T. Physica! examiid@ion revediid right axillary rales and chest a . x-ray showed pa chyalvedidr infitidtecaetane in upper, middle and ldééE lobes. yt Problem _0°0zT o7os oa , Niles alah ae dens sod nek £alien clade. ot. whoa tianalsanc lina ataca Zz: z Pa. room air and pCO, and mm. of | the nasotrachesl route and placed - bloody.) on @ volume eycli ee he resp tubacd# . He begue : . + ' , a ec 1 . mercury. Cultures ofthe scanty b -tinged 5dan grew only a few colonies of | Klebsiella....0vatlthe next ¢wo daysotusthad incmessingly severe respiratory distress with? 1 tionGF both seitchoracedM6 chest x-ray. His sputum became , Arterial oxygen ggtyration was 45 BB? mercuRy, tment empirically with Yftimethamine © : —— FET a 4 wot - = _ nd va Heatroe og I@ITI/TId- 40331Tims / TOA JJe Pacaeee r nse O) Mianery ond Physics! Leeminetion oo a_Narrative -« oi Pellewaep - 7 . 602 ee ‘ ng com Rae 0996 CUNICAL RECORD yet ‘MATIONAL INSTITUTES OF HEALTH (Banuyzau99} PLOT-OL6T SUTIN CW (penuy u0es) ZT xppuaeddy ~ 144 - MIN Bor. S71) Loe cits —~ - me st! ‘ Rongelap (5h) 9-4-6 3 ee. wee abst a : O0IT- oe. “SSE . = O° OZT tee —f-4—_—_—$_ ¢- 6+ Z*T . DOPE.-- . 2600 Oz0"O ETOrQEEN £00-0—-£00-6 eer ~ - O86 1, OF 4 OFT =: 0"o9t . - 1 F0022527070. 970°0 STAG OE ’ £00°O. shoot andisulfadizeine for the ponaibiltey of Pneunogmstis |carinii Paeumonitia, Management