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Clinical Problem-Solving
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Volume 346:764-767 March 7, 2002 Number 10
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Where Are You From?
Kevin C. Katz, M.D., Sharon L. Walmsley, M.D., Anne G. McLeod, M.D., Jay S. Keystone, M.D., and Allan S. Detsky, M.D., Ph.D.

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A 54-year-old man of Guyanese origin with human immunodeficiency virus (HIV) infection was hospitalized in Toronto with a one-week history of low-grade fever (temperature, <38°C). He had had a temperature of 38.5°C on each of the two days preceding hospitalization, in association with rigors.

The combination of fever, HIV infection, and the patient's country of origin evokes a broad range of differential diagnoses. I would be most concerned about conditions related to his HIV infection. Opportunistic infections obviously come to mind, but non-Hodgkin's lymphoma or a drug reaction (such as sulfonamide hypersensitivity) may also cause fever. The patient's history of . . . [Full Text of this Article]

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From the Departments of Medicine (K.C.K., S.L.W., A.G.M., J.S.K., A.S.D.) and Health Policy, Management, and Evaluation (A.S.D.), University of Toronto; and the Department of Medicine at Mount Sinai Hospital and University Health Network (K.C.K., S.L.W., A.G.M., J.S.K., A.S.D.) — both in Toronto.

Address reprint requests to Dr. Detsky at Mount Sinai Hospital, Rm. 427, 600 University Ave., Toronto, ON M5G 1X5, Canada, or at detsky@utstat.toronto.edu.

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