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A 43-year-old man was admitted to the hospital because of fever, night sweats, weight loss, and headache.
The patient had reportedly been well until 15 days earlier, when fever developed. A physician prescribed an unknown medication, but the fever persisted, and on the day of admission the patient's temperature was 40.1°C.
The patient was a native of Morocco and had immigrated to this country in the autumn, four months before admission. An eight-year-old son was said to have "dormant tuberculosis." The patient reported a four-month history of night sweats, a three-month history of "generalized arthralgias," a two-week history of headache,
Differential Diagnosis
Sarcoidosis
Lymphoproliferative Disease
Infectious Diseases
Brucellosis
Tuberculosis
Diagnostic Procedure
Clinical Diagnosis
Dr. Lynn T. Tanoue's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, Conn. (L.T.T.), and the Department of Pathology, Massachusetts General Hospital, Boston (E.J.M.).
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