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A Treacherous Course

List of authors.
  • Jessica Little, M.D.,
  • Anand Vaidya, M.D.,
  • Nikolaus Jilg, M.D., Ph.D.,
  • Emily S. Lau, M.D.,
  • and Meghan A. Baker, M.D., Sc.D.

A 33-year-old man presented to the emergency department in September 2019 with vomiting, abdominal pain, and fever. One month before presentation, he attempted to emigrate from Mexico to the United States. At that time, he was apprehended and sent to a detention center in Texas. He was subsequently deported to Mexico. He made a second attempt to emigrate 2 weeks before presentation, traveling on foot through Mexico and crossing the border by swimming across the Rio . . .

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Funding and Disclosures

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

Dr. Vaidya reports receiving consulting fees from CatalysPacific, Corcept Therapeutics, and HRAPharma and receiving grant support from the National Institutes of Health and the Ventus Charitable Foundation. No other potential conflict of interest relevant to this article was reported.

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