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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:545-554 February 18, 1999 Number 7
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Case 5-1999— A 37-Year-Old Man with Fever and Diffuse Lymphadenopathy
Paul R. Skolnik, and Eugene J. Mark

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Presentation of Case

A 37-year-old man was admitted to the hospital because of fever, chills, and diffuse lymphadenopathy.

Eight weeks before this admission, the patient entered a rehabilitation hospital for alcohol detoxification. He had a two-week history of fever, chills, myalgia, and a sore throat. The white-cell count was 2100 per cubic millimeter. He had a seizure disorder for which he took carbamazepine; at the rehabilitation hospital, phenobarbital was substituted for the carbamazepine. Treatment with human granulocyte colony-stimulating factor was begun. Five blood-culture specimens were negative. Treatment with oxacillin and gentamicin was ineffective, and the patient was transferred to this hospital on the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Paul R. Skolnik's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References




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