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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:499-505 August 15, 1996 Number 7
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Case 25-1996— A 38-Year-Old Man with Fever, Cough, and a Pleural Effusion
Mark S. Drapkin, and Eugene J. Mark

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Presentation of Case

A 38-year-old man was admitted to the hospital because of fever, cough, and sweats.

The patient had been in excellent health until three weeks earlier, when he began to have a continuous fever; he did not take his temperature and was unaware of accompanying symptoms. Two weeks before admission, drenching night sweats developed. Twelve days before admission, a sensation of chilliness, without frank rigors, and a dry cough developed. He was referred to this hospital.

The patient was an unemployed native of Honduras who had immigrated to the United States three years before admission. A tuberculin skin test (purified protein . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Mark S. Drapkin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


Related Letters:

Case 25-1996: Tuberculous Pleuritis
Montero E., Benito A., López-Alvarez J., Shigeoka A. O'N., Drapkin M. S.
Extract | Full Text  
N Engl J Med 1997; 336:297-298, Jan 23, 1997. Correspondence

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