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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 348:151-161 January 9, 2003 Number 2
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Case 1-2003 — A 43-Year-Old Man with Fever and Night Sweats
Lynn T. Tanoue, M.D., and Eugene J. Mark, M.D.

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Presentation of Case

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, . . . [Full Text of this Article]

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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