Keeping an Open Mind

doi:10.1056/NEJMcps0803420

Volume 360:72-76		January 1, 2009		Number 1

Keeping an Open Mind

Nasia Safdar, M.D., Cybele L. Abad, M.D., Shoba Narayan, M.D., Daniel R. Kaul, M.D., and Sanjay Saint, M.D., M.P.H.

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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PubMed Citation

In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 67-year-old man presented with a 3-month history of fatigueand fever. He had undergone heart transplantation 6 years earlierfor idiopathic cardiomyopathy. He reported no weight loss, nightsweats, or chills. He also reported no headache, rash, jointswelling, dysuria, or abdominal or respiratory problems.

This patient has a prolonged fever without focal symptoms yearsafter a heart transplant. The risk . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, University of Wisconsin–Madison School of Medicine, Madison (N.S., C.L.A., S.N.); and the Department of Internal Medicine, University of Michigan Medical School (D.R.K., S.S.), and the Department of Veterans Affairs Health Services Research and Development Center of Excellence (S.S.) — both in Ann Arbor.

Address reprint requests to Dr. Safdar at the Division of Infectious Diseases, University of Wisconsin–Madison, H4/572 Clinical Sciences Center, 600 Highland Ave., Madison, WI 53792, or at ns2@medicine.wisc.edu.