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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:722-728 March 9, 2000 Number 10
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Case 7-2000— A 23-Year-Old Man with Hemolytic Anemia and Bloody Diarrhea
Ira A. Oliff, and Carolyn C. Compton

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Presentation of Case

A 23-year-old man was examined because of severe anemia, low-grade fever, and bloody diarrhea.

The patient had been well until two months earlier, when fatigue developed. Three weeks later he came to this hospital because of increasing fatigue, a sore throat, and mild fever. The patient worked in a professional position. He had a history of chronic ear infections, which had begun in childhood; the most recent episode had occurred three years earlier. A heart murmur had been heard when he was 11 years old. He had no history of recent dental procedures, risk factors for human immunodeficiency virus (HIV) . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Ira A. Oliff's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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