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Previous Volume 360:508-516 January 29, 2009 Number 5 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 39-year-old woman in the first trimester of her first pregnancy was seen in the obstetrics and gynecology clinic of this hospital at 14 weeks of gestation because of a recent febrile illness.

She had been well until approximately 9 weeks before this evaluation, when daily fevers with temperatures of up to 38.3°C developed, accompanied by rigors, malaise, myalgias, and fatigue. She took ibuprofen every 6 hours, with some improvement. One week later, she saw her primary care provider.

She reported no headache, stiff neck, nasal congestion, sore throat, cough, nausea, abdominal pain, or diarrhea. Four months before the onset . . . [Full Text of this Article]

Differential Diagnosis

Parvovirus Infection

Rubella and Rubeola

Acute Retroviral Illness

Mononucleosis

Toxoplasmosis

CMV Infection

Clinical Diagnosis

Dr. Patrick Duff's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Department of Obstetrics and Gynecology, University of Florida, Gainesville (P.D.); and the Division of Maternal–Fetal Medicine (W.H.B.) and the Department of Pathology (M.D.P.), Massachusetts General Hospital, and the Departments of Obstetrics, Gynecology, and Reproductive Biology (W.H.B.) and Pathology (M.D.P.), Harvard Medical School — both in Boston.

Related Letters:

Case 4-2009: A Pregnant Woman with Fever after a Trip to Africa
Itskowitz M., Jones J. G., Revello M. G., Duff P., Barth W. H. Jr., Post M. D.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:2481-2482, Jun 4, 2009. Correspondence

This article has been cited by other articles:

• Itskowitz, M., Jones, J. G., Revello, M. G., Duff, P., Barth, W. H. Jr., Post, M. D. (2009). Case 4-2009: a pregnant woman with fever after a trip to Africa.. NEJM 360: 2481-2482 [Full Text]