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Robin Friedman, MD; Terri Henson, MD; Robert Skinner, MD
University of Tennessee, Memphis

Arch Dermatol. 2002;138:1371-1376.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A previously healthy 58-year-old black man presented with a 4-day history of productive cough, pleuritic chest pain, myalgias, weight loss, and fever. Hematology studies revealed a white blood cell count of 21.7 x 10³/µL) (reference range, 4-10 x 10³/µL), and chest x-ray films revealed a left lower lobe infiltrate. The patient was diagnosed as having community-acquired pneumonia, hospitalized, and started on a regimen of azithromycin (Azithromax), without improvement. Ceftriaxone sodium (Rocephin) was subsequently added to the regimen; however, the patient continued to have an elevated white blood cell count and temperature spikes to 38.9°C. Other antibiotics were tried, without response. Blood and urine cultures were negative for organisms, and serologic tests were negative for human immunodeficiency virus, serum cryptococcal antigen, and toxoplasma IgM. A sputum sample was negative for Pneumocystis carinii and acidfast bacilli, but showed mixed oropharyngeal flora . . . [Full Text of this Article]

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