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A 25-year-old woman was admitted to the hospital because of persistent fever.
The patient was a resident of the Philippines who had flown to the United States 11 days before admission and spent 6 days in California. Seven days before admission, she had a temperature of 38.2°C, with a mild headache and a nonproductive cough. Amoxicillin provided by her mother did not reduce the patient's temperature. Three days before admission, her temperature rose to 40°C, and she began to take acetaminophen and ibuprofen, without relief of the fever. One day before admission, she came to this hospital; at this time,
Differential Diagnosis
Bacteremia Due to Colonic Flora
Coinfection with Strongyloides stercoralis
Gonococcal Infection
Bacterial Endocarditis
Infection with Vibrio Species
Melioidosis
Typhoidal Tularemia and Typhoidal Plague
Typhoid Fever
General Aspects
Clinical Findings
Pathogenesis
Treatment
Conclusions
Clinical Diagnoses
Dr. Eric J. Rubin's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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