A 44-year-old, previously healthy man presented with a three-weekhistory of fatigue and temperatures as high as 38.2°C (100.8°F).The man was a medical resident at a municipal hospital.
Despite the long list of causes of fever and fatigue, I wouldbe most worried about occupationally related illnesses, suchas primary human immunodeficiency virus (HIV) infection andhepatitis in its prodromal phase.
The fevers usually occurred at the end of the day and were associatedwith myalgias and chills. The patient began to take acetaminophen.He was seen at a local emergency room for epigastric pain, wherea physical examination, . . . [Full Text of this Article]
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From the Department of Medicine, New England Medical Center, Tufts University School of Medicine, Boston.
Address reprint requests to Dr. Pauker at New England Medical Center, Box 302, 750 Washington St., Boston, MA 02111, or at stephen.pauker@es.nemc.org.
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