FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 337:1612-1619 November 27, 1997 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 59-year-old man was admitted to the clinic because of anorexia, fatigue, weight loss, and a mediastinal mass.

The patient had been well until two years earlier, when his appetite and taste sensation decreased, with an ultimate loss of 16 kg in weight. He felt tired but continued to work as an automobile mechanic. He occasionally had mild headaches and dyspnea. An evaluation elsewhere showed a mediastinal mass; a biopsy revealed only fibrofatty tissue. Mild anemia, hypoalbuminemia, and a polyclonal gammopathy were detected. The patient had visited a Brazilian city for a month on four occasions during the preceding six . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Richard P. MacDermott's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Dutly, F., Altwegg, M. (2001). Whipple's Disease and ""Tropheryma whippelii"". Clin. Microbiol. Rev. 14: 561-583 [Abstract] [Full Text]