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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:1835-1843 December 17, 1998 Number 25
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Case 38-1998— A 19-Year-Old Man with the Acquired Immunodeficiency Syndrome and Persistent Fever
Stuart M. Levitz, and Eugene J. Mark

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Presentation of Case

A 19-year-old man was admitted to the hospital because of a febrile illness.

The patient had been well until five weeks earlier, when a dry cough developed. Two weeks later, bouts of fever and chills began, and the cough became productive of greenish sputum. The patient had a weight loss of 9 kg. Two days before admission, radiographs of the chest (Figure 1) showed patchy opacities in the left lower lobe that were consistent with the presence of pneumonia and left hilar, possibly right hilar, and right paratracheal lymphadenopathy. Laboratory tests were performed (Table 1 and Table . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Stuart M. Levitz's Diagnoses

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References



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