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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:492-499 February 13, 1997 Number 7
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Case 5-1997— A 24-Year-Old Woman with Cervical Lymphadenopathy, Fever, and Leukopenia
Roger L. Snow, and Judith A. Ferry

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Presentation of Case

A 24-year-old Asian woman was admitted to the hospital because of left cervical lymphadenopathy and fever.

The patient had been well until two weeks earlier (one week after returning from a visit to her native Hong Kong), when she experienced pain and tenderness in the left side of her neck and felt a small lymph node in the cervical region. At about the same time, she began to have a low-grade fever, for which she took ibuprofen. Eight days before admission, hematologic tests were performed at another hospital (Table 1). A test for heterophil agglutinins was negative.

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  		Table 1. Hematologic . . . [Full Text of this Article]

 
Differential Diagnosis

Clinical Diagnosis

Dr. Roger L. Snow's Diagnoses

Pathological Discussion

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