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- W2152503370 abstract "A 17-year-old boy presented in March, 2003, with a fever, sore throat and dysphagia. His general practitioner diagnosed pharyngitis and gave him oral cephalosporin (cefaclor 1 g twice daily). No pharyngeal swab was taken. The boy started treatment after a delay of 2 days and stopped it after another 3 days since his pain and fever subsided rapidly. 2 weeks later, he was admitted to a local hospital with severe abdominal pain, fatigue and pallor. Doctors there documented proteinuria, haematuria, an elevated systolic blood pressure (149 mm Hg), and anti-streptococcal antibodies, and suspected that the boy had post-streptococcal glomerulonephritis. No microbiological cultures were taken. They started treatment with intravenous penicillin, but because C-reactive protein (CRP) concentrations remained high, his treatment was changed to cefuroxime and gentamicin for a total of 12 days. Nevertheless, CRP increased to 249 mg/L. On day 12, the patient became febrile and complained of severe chest pain. Radiographs of the chest showed widening of the mediastinum and CT (figure, A) showed a mass between the brachiocephalic vein and superior vena cava, spreading paratracheally to the posterior mediastinum. His doctors suspected that he had a lymphoma and referred him to us." @default.
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- W2152503370 date "2004-07-01" @default.
- W2152503370 modified "2023-09-26" @default.
- W2152503370 title "A boy with a mediastinal mass" @default.
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- W2152503370 doi "https://doi.org/10.1016/s0140-6736(04)16773-1" @default.
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