Studying the Classics

• Published in: The New England journal of medicine Vol. 333; no. 10; pp. 648 - 652
• Main Author: Thibault, George E
• Format: Journal Article
• Language: English
• Published: Boston, MA Massachusetts Medical Society 07-09-1995
• Subjects: Biological and medical sciences; Cardiology. Vascular system; Endocardial and cardiac valvular diseases; Heart; Medical sciences; Human; Lung disease; Pneumonia; Mitral valve; Respiratory disease; Stenosis; Cardiovascular disease; Infection; Case study; Association; Cardiac valvular disease; Streptococcal infection; Bacteriosis; Complication; Female; Diagnosis; Rheumatic fever
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJM199509073331009

Stage
A 25-year-old Hispanic woman in the 27th week of pregnancy came to the emergency room complaining of cough and shortness of breath. She reported that she had been well until two days earlier. In the past day she had also been nauseated, and she had vomited once. In the emergency room she was found to have a temperature of 38°C (100.5°F) and was thought to be dehydrated. intravenous fluids, ampicillin, and gentamicin were administered. She was given a prescription for erythromycin and sent home. She returned the next day because she was more dyspneic and explained that she had . . .