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Medical Imaging Quiz − Case 23

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Copyright � Athens <strong>Medical</strong> Society<br />

264 M. www.mednet.gr/archives<br />

KELOGRIGORIS et al<br />

ARCHIVES OF HELLENIC MEDICINE: ISSN 11-05-3992<br />

CONTINUING MEDICAL EDUCATION<br />

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<strong>Medical</strong> <strong>Imaging</strong> <strong>Quiz</strong> <strong>−</strong> <strong>Case</strong> <strong>23</strong><br />

A 66-year-old woman, who was working as an employee in a<br />

pet shop with parrots and pigeons, was admitted to our hospital<br />

because of fever (39.1 o C), non-productive cough, weakness,<br />

myalgias and headache of one-week duration. On clinical examination,<br />

cricket-sounds in the right hemithorax, bradycardia and<br />

splenomegaly were found. On blood count, the white blood cells<br />

were elevated (12.000/μL) and the platelets were low (


MEDICAL IMAGING QUIZ – CASE <strong>23</strong> 265<br />

macrophages of most organs, conjunctiva, and gastrointestinal<br />

tract. It can also be passed in the eggs. Stress will commonly trigger<br />

onset of severe symptoms, resulting in rapid deterioration and<br />

death. C. psittaci strains are similar in virulence, grow readily in<br />

cell culture, have 16S-rRNA genes that differ by

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