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Gordon D. Rubenfeld, MD, MSc

JAMA. 2003;290:397-399.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 43-year-old woman with no prior medical history presents to an emergency department with cough and fever and is treated for bronchitis. She returns 3 days later with dyspnea and a chest radiograph reveals bilateral lower lobe opacities. Progressive respiratory failure leads to hospital admission and ultimately to intubation and mechanical ventilation. For intensivists around the world, this scenerio is not an uncommon presentation for patients diagnosed with acute respiratory distress syndrome (ARDS). The only difference is that this patient with ARDS has the additional history that she "recently returned from a trip to Hong Kong China" and therefore has severe acute respiratory syndrome (SARS).

Pneumonia is the leading risk factor for ARDS in almost all case series, however, the percentage of cases associated with viral infection is not well known because viral pathogens are not routinely sought in adults who are immunocompetent.^1-2 Viruses known . . . [Full Text of this Article]

Author Affiliation: Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle.

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