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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:194-199 July 15, 1993 Number 3
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Case 28-1993— A 63-Year-Old Man with Fever, Sweats, and Shaking Chills
Leonard C. Marcus, and Anthony R. Mattia

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Presentation of Case

A 63-year-old man was admitted to the hospital because of fever, chills, and fatigue.

The patient had been in stable health until 17 days earlier, when he experienced the onset of dull occipital headache, myalgias, and night sweats. He used analgesic medications intermittently, with transient improvement in his symptoms, but did not check his temperature during the first two weeks of the illness. The myalgias disappeared after two weeks. During the third week of symptoms the patient found that his temperature became elevated, usually at night, and rose as high as 39.3 °C; he also observed that his urine was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Leonard C. Marcus' Diagnosis

Pathological Discussion

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References




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