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Previous Volume 353:713-722 August 18, 2005 Number 7 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 40-year-old man was admitted to this hospital because of persistent fever, night sweats, anorexia, and weight loss.

The patient had been in excellent health until eight and a half weeks before admission, when fever, chills, severe headache, and diarrhea developed the day after he and his family ate in a fast-food restaurant. Others in the family had similar symptoms. The headaches and diarrhea resolved after five days, but the fever persisted, with nightly temperatures of 38.9°C to 39.4°C associated with drenching night sweats. The fever responded to ibuprofen and did not occur during the day. Anorexia developed, with a . . . [Full Text of this Article]

Differential Diagnosis

Persistent Symptoms with Abnormal Results on Liver-Function Tests

Deterioration of Liver Function

Ileocecitis and Periappendicitis Associated with Food-Borne Pathogens

Pylephlebitis Following Appendicitis

Bacteroides and Thrombotic Disease

Clinical Diagnosis

Dr. Dennis L. Kasper's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Department of Medicine, Brigham and Women's Hospital (D.L.K.); the Departments of Radiology (D.S.) and Pathology (J.M.), Massachusetts General Hospital; and the Departments of Medicine (D.L.K.), Radiology (D.S.), and Pathology (J.M.), Harvard Medical School — all in Boston.

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