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History of Present Illness The patient had been admitted to an outlying facility for complications stemming from an upper respiratory infection (URI) beginning 3 weeks previously, for which a course of oral antibiotics was prescribed. In addition, the patient complained of symptoms attributable to a previously diagnosed urinary tract infection (UTI), which had since recurred. Multiple therapeutic modalities, including administration of steroids, intravenous immunoglobulin (IVIG), cyclophosphamide (Cytoxan), and plasmapheresis were implemented; however, her anemia and respiratory status worsened and progressed to multisystem organ failure.

Muscle Weakness and Fatigue in a Woman With Recurrent Upper Respiratory and Urinary Tract Infections