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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1293-1300 November 10, 1994 Number 19
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Case 40-1994— A 77-Year-Old Woman with Fever, Sweats, and Pain in the Head and Legs
Michael Hayes, and E. Tessa Hedley-Whyte

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Presentation of Case

A 77-year-old woman was admitted to the hospital because of pain in the head and legs, fever, and sweats.

The patient had been well until four weeks earlier, when she began to experience pain in the neck that extended over the lower third of the left side of the head and left mandible. The next morning she had an acute onset of "burning" in the lower legs, as if they were "on fire." That night she changed her nightgown several times because of sweats. After several days of such symptoms the patient consulted a dentist; radiographs were reported to show . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael Hayes's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References



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