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Previous Volume 360:1540-1548 April 9, 2009 Number 15 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. Mary Berlik Rice (Medicine): A 47-year-old man was admitted to the hospital because of fever, headache, rash, and vomiting. The patient had been well until 8 days earlier, when severe pleuritic chest pain developed, worse on the right side than on the left, and a maculopapular rash appeared on his torso, which by the next day involved the scalp and the arms and legs, sparing the palms and soles. He also had temperatures of up to 39.1°C, chills, diaphoresis, a throbbing frontal headache that radiated to the vertex, a sore throat, swollen cervical lymph nodes, a cough productive of . . . [Full Text of this Article]

Differential Diagnosis

Bacterial Infection

Atypical Bacterial, Fungal, or Parasitic Infection

Viral Infection

            Mononucleosis-like Illness

            Acute HIV Infection

Noninfectious Diseases

Summary

Clinical Diagnosis

Dr. Sigall K. Bell's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Division of Infectious Diseases, Beth Israel Deaconess Medical Center (S.K.B.); Infectious Disease Unit, Department of Pathology, Massachusetts General Hospital (E.S.R.); and the Departments of Medicine (S.K.B., E.S.R.) and Pathology (E.S.R.), Harvard Medical School.

Related Letters:

Case 11-2009: A Man with Fever, Headache, Rash, and Vomiting
Del Borgo C., Soscia F., Mastroianni C. M., Leiner S., Bell S. K., Gandhi R. T.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:312-314, Jul 16, 2009. Correspondence

This article has been cited by other articles:

• Del Borgo, C., Soscia, F., Mastroianni, C. M., Leiner, S., Bell, S. K., Gandhi, R. T. (2009). Case 11-2009: A Man with Fever, Headache, Rash, and Vomiting. NEJM 361: 312-314 [Full Text]