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Previous Volume 352:919-924 March 3, 2005 Number 9 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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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 48-year-old airline mechanic from Belize presented to the emergency department with fever and altered mental status.

Two weeks earlier, fever, myalgias, and dry cough had developed. His maximal daily temperature reached as high as 41.1°C, and one week before coming to the emergency department, the patient awakened unable to speak. At a hospital in Belize, he was febrile and aphasic without . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Cook County Hospital (P.C., S.G., B.M.R.), and Rush Medical College (P.C., S.G., B.M.R.) — both in Chicago.

Address reprint requests to Dr. Reilly at the Department of Medicine, Cook County Hospital, 1900 W. Polk St., 1501-A, Chicago, IL 60612, or at breilly@cchil.org.

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