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Previous Volume 344:2009-2014 June 28, 2001 Number 26 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.

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Presentation of Case

A 64-year-old man was admitted to the hospital because of fever and bacteremia.

The patient had had hypertension for 20 years, type 2 diabetes mellitus for 16 years, and coronary disease for 7 years, with a history of myocardial infarction and congestive heart failure. He also had proteinuria (+++) and mild, chronic renal insufficiency.

He had otherwise been well until three weeks before admission, when he was traveling in the Middle East and began to have fever (peak temperature, 39.0°C), with fatigue and weight loss. Ten days before admission, treatment with ciprofloxacin (500 mg daily) was begun. Three days later, . . . [Full Text of this Article]

Differential Diagnosis

Bacterial Infections

Parasitic and Rickettsial Infections

Fungal Infections

Mycobacterial Infection

Brucellosis

Identification of the Organism

Explanation of the Relapse of Disease

Explanation of Organ Abnormalities

Possibility of Concomitant Tuberculosis

Clinical Diagnosis

Dr. Dimitrios P. Kontoyiannis's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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