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Case Records of the Massachusetts General HospitalFree Preview

Case 21-2022: A 17-Year-Old Girl with Fever and Cough

List of authors.
  • Mary C. Ottolini, M.D., M.P.H., M.Ed.,
  • Randheer Shailam, M.D.,
  • Amita Sharma, M.D.,
  • and Ivy A. Rosales, M.D.

A 17-year-old girl was admitted because of prolonged fever and cough. She had an elevated creatinine level and a low hemoglobin level. A diagnostic test was performed.

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Funding and Disclosures

This case was presented at the Tufts University School of Medicine postgraduate course “New England Pediatric Hospital Medicine 2022,” directed by Dr. Chadi El Saleeby and Dr. Kerstin Zanger.

Disclosure forms provided by the authors are available with the full text of this article at

We thank Dr. Rex Neal Smith for his assistance with the pathology section of this manuscript.

Author Affiliations

From the Department of Pediatrics, Barbara Bush Children’s Hospital at Maine Medical Center, Portland (M.C.O.); and the Departments of Radiology (R.S.), Pediatrics (A.S.), and Pathology (I.A.R.), Massachusetts General Hospital, and the Departments of Radiology (R.S.), Pediatrics (A.S.), and Pathology (I.A.R.), Harvard Medical School — both in Boston.

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