FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 349:1168-1175 September 18, 2003 Number 12 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.

	Full Text PDF PDA Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 60-year-old man was evaluated in the clinic in mid-June because of fever, rigors, and sweats.

The patient had been well until 10 days earlier, when anorexia, a sore throat, diffuse myalgia, arthralgia, headache, malaise, and fever (temperature, up to 39.3°C) developed, with frank rigors, night sweats, and dyspnea on climbing stairs. The sore throat had largely subsided by the time of the examination. There was no cough, nausea, vomiting, diarrhea, jaundice, light stools, dysuria, or rash. His only medication was atorvastatin, and he was allergic to sulfonamides.

The temperature was 38.1°C. There was no rash, conjunctival injection, or scleral . . . [Full Text of this Article]

Differential Diagnosis

The Initial Presentation

            Infections

            Neoplasms and Autoimmune Diseases

The Subsequent Course

            Hemolytic Anemia

The Infectious-Disease Consultation

Clinical Diagnosis

Dr. Joshua D. Gutman's Diagnosis

Pathological Discussion

Pathological Diagnosis

Source Information

From Family Medicine Associates, South Attleboro, Mass., and the Department of Family Medicine, Brown University, Providence, R.I. (J.D.G.); the Division of Infectious Disease (C.N.K.) and the Department of Pathology (A.K.), Massachusetts General Hospital; and the Departments of Medicine (C.N.K.) and Pathology (A.K.), Harvard Medical School.

Related Letters:

Case 29-2003: A 60-Year-Old Man with Fever, Rigors, and Sweats
Matthews J., Rattigan E., Yee H., Kratz A., Kotton C. N., Gutman J. D.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:2467, Dec 18, 2003. Correspondence

This article has been cited by other articles:

• Swanson, S. J., Neitzel, D., Reed, K. D., Belongia, E. A. (2006). Coinfections Acquired from Ixodes Ticks. Clin. Microbiol. Rev. 19: 708-727 [Abstract] [Full Text]  
• Matthews, J., Rattigan, E., Yee, H., Kratz, A., Kotton, C. N., Gutman, J. D. (2003). Case 29-2003: A 60-Year-Old Man with Fever, Rigors, and Sweats. NEJM 349: 2467-2467 [Full Text]