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A 28-year-old man was admitted to the hospital because of gram-negative sepsis.
The patient had been in excellent health until three weeks earlier, when malaise developed. Ten days before admission, he attended a wedding. The next day he had fatigue, anorexia, and malaise, which waxed and waned. Four days before admission, his temperature rose to 40.6°C, with rigors, sweats, and difficulty concentrating. Two days later, the patient had a severe occipital headache.
One day before admission, the patient came to the emergency department at this hospital. The temperature was 38.7°C, the pulse was 120, and the respirations were 20. The
Differential Diagnosis
Clinical Diagnosis
Dr. Paul E. Farmer's Diagnosis
Pathological Discussion
Laboratory Diagnosis
References
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