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Previous Volume 347:200-206 July 18, 2002 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 37-year-old man was admitted to the hospital because of three weeks of intermittent fever and abdominal and back pain.

The patient had been well until about seven months earlier, one month after he had begun a difficult trip by land from his native Peru to the United States. During his trip, which took four months, he ate fruit directly from trees, bathed in and drank water from rivers and other uncertain sources, passed through several tropical rain forests, and received numerous mosquito bites. In Guatemala, about 7 months before admission, he had a fever that lasted 10 days before . . . [Full Text of this Article]

Differential Diagnosis

Neoplasms

Protozoal and Parasitic Diseases

Rickettsial Infection

Fungal Infection

Mycobacterial Infection

Bacterial Infection

            Salmonellosis

            Tularemia

            Brucellosis

Clinical Diagnoses

Dr. James T. Noble's Diagnoses

Pathological Discussion

Pathological Diagnosis

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