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N. Franklin Adkinson, Jr, MD

JAMA. 1992;268(6):771-773.

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

CASE PRESENTATION

The patient was a 67-year-old woman admitted with polyuria, dysuria, and fever. Her medical history was unremarkable, she was taking no medications, and had no known drug allergies. Her family history, social history, and review of systems were noncontributory.

On physical examination, the patient was mildly obese and her blood pressure was 184/100 mm Hg. She was afebrile at the time of admission. The rest of her examination was unremarkable. Routine laboratory tests showed hyperglycemia and glycosuria, and the diagnosis of diabetes mellitus was made. Microscopic examination of the urine showed many white blood cells and many bacteria, and subsequently Escherichia coli was grown from a urine culture.

The patient was given a combination of trimethoprim and sulfamethoxazole for her urinary tract infection, but could not tolerate it because of nausea and vomiting. Enalapril was prescribed for hypertension, and glyburide for the diabetes (Table 1).

On the second . . . [Full Text PDF of this Article]

Author Affiliations
From The Johns Hopkins Asthma and Allergy Center, Baltimore, Md.

Footnotes
Reprint requests to Clinical Immunology Unit Office No.2, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 (Dr Adkinson).

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