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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 79-year-old man with a 5-month history of fatigue and 20-lb (9-kg) weight loss presented to his local physician. The patient also reported intermittent episodes of high temperature, night sweats, and chills during this period. A review of systems and physical examination were unrevealing with the exception of mild nasal congestion. The results of blood and urine cultures and chest radiography were
Commentary
Source Information
From the Departments of Medicine (N.S., C.L.A.) and Surgery (D.J.), University of Wisconsin School of Medicine, Madison; and the Department of Internal Medicine, University of Michigan Medical School (D.R.K., S.S.), and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.) — both in Ann Arbor.
Address reprint requests to Dr. Safdar at the Division of Infectious Diseases, University of Wisconsin, Madison, H4/572 Clinical Sciences Center, 600 Highland Ave., Madison, WI 53792, or at ns2@medicine.wisc.edu.
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