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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
A 64-year-old man with a history of coronary artery disease and peripheral vascular disease was admitted to the hospital with a several-month history of fevers, chills, and fatigue. These symptoms had begun soon after he had undergone percutaneous coronary intervention with placement of a stent in the left anterior descending coronary artery 10 months previously. He had initially been treated empirically by
Commentary
Source Information
From the Division of Infectious Diseases, Department of Medicine, University of California at San Francisco, San Francisco.
Address reprint requests to Dr. Graber at the Division of Infectious Diseases, Department of Medicine, San Francisco General Hospital, Bldg. 30, Rm. 3300, Box 0811, 1001 Potrero Ave., San Francisco, CA 94110, or at christopher.graber@ucsf.edu.
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