A 45-year-old man with history of heavy alcohol, tobacco, cocaine, and marijuana use for many years presented to the Emergency Department complaining of cough and sore throat of 1 week duration. Over the past couple of months, he had lost weight and had become increasingly short of breath. In addition, he complained of progressively worsening abdominal discomfort, which he described as fullness. Three years previous, he underwent splenectomy after trauma.
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Accepted: August 9, 2000
Received: May 9, 2000
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.