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Previous Volume 355:941-948 August 31, 2006 Number 9 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

Dr. Melissa Sue Lee (Pediatrics): A 17-year-old boy was admitted to this hospital because of fever and nodules in the liver and spleen. The patient had been well until two and a half months before admission, when night sweats developed. Two weeks earlier, he had moved from the United States to Santo Domingo, Dominican Republic. During the six weeks before admission to our hospital, he had fevers each morning with a maximal temperature of 40.2°C, associated with rigors.

Five and a half weeks before admission, he saw a physician. His weight was 64.9 kg, and his vital signs were reported . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stephen I. Pelton's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Department of Pediatric Infectious Disease, Boston Medical Center (S.I.P.); the Department of Pediatrics, Boston University School of Medicine (S.I.P.); and the Departments of Radiology (J.Y.K.) and Pathology (R.L.K.), Massachusetts General Hospital and Harvard Medical School — all in Boston.

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