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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:1514-1521 November 14, 1996 Number 20
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Case 35-1996— A 57-Year-Old Woman with Fever, Sweats, Neuropathy, and Multiple Pulmonary Nodules
Walter E. Donat, and Elena Savilo

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Presentation of Case

A 57-year-old woman was admitted to the hospital because of fever, sweats, neuropathy, and multiple pulmonary nodules.

The patient had been well until nine months earlier, when weakness developed in the left ankle. During the following month, she had fevers, night sweats, and fatigue. Electrophysiologic testing performed elsewhere revealed a posterior tibial neuropathy of mixed demyelinative type. The fevers and night sweats waxed and waned, and the fatigue persisted. Three months before admission, the fevers and night sweats increased, with a rise in the temperature to 38.3°C and rigors. She lost 4.5 kg in weight.

Five weeks before admission, the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Walter E. Donat's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

References



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