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The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Case 42-1966

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Page 1: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 2: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 3: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 4: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 5: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 6: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 7: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.

Page 8: Case 42-1966

The New England Journal of Medicine Downloaded from nejm.org at UNIVERSITY OF VIRGINIA on April 20, 2013. For personal use only. No other uses without permission.

From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.


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