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Clinical Problem-Solving
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Volume 356:1871-1876 May 3, 2007 Number 18
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The Drenched Doctor — A 55-year-old male physician was seen in August because of a 1-week history of fever and night sweats
Daniel R. Kaul, M.D., Mark B. Orringer, M.D., Sanjay Saint, M.D., M.P.H., and Stephen R. Jones, M.D.

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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 55-year-old male physician was seen in August because of a 1-week history of fever and night sweats. The night sweats required at least one nightly change of his pajamas and pillowcase. The patient also noted a persistent cough, which had previously been ascribed to esophageal reflux. There was no sputum production, photophobia, rash, arthralgia, dysuria, or change in bowel function.

Drenching . . . [Full Text of this Article]

Commentary


Source Information

From the Division of Infectious Diseases (D.R.K.), Section of Thoracic Surgery, Department of Surgery (M.B.O.), and Division of General Medicine (S.S.), University of Michigan Medical School; and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.) — both in Ann Arbor, MI; and the Department of Medicine, Legacy Good Samaritan and Emanuel Hospitals, Oregon Health and Sciences University, Portland (S.R.J.).

Address reprint requests to Dr. Kaul at the Division of Infectious Diseases, University of Michigan Medical Center, Ann Arbor, MI 48109, or at kauld@umich.edu.


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