A previously healthy 16-year-old girl presented to her physician because of a two-day
history of sore throat, fatigue, fever, headache, and vomiting. On examination, her …

A 26-year-old woman was referred to the rheumatology clinic because of painful neck
swelling associated with thirst and weight loss. Physical examination revealed …

PRESENTING FEATURES: A 42-year-old man was admitted with a chief complaint of cough
and night sweats of 2 months' duration. The cough produced brown sputum but no blood. He …

A 59-year-old man was admitted to this hospital with a 6-month history of chronic daily
headache, fever, and myalgia. Dry mouth, polydipsia and polyuria, and pain in the jaws on …

A 59-year-old man was admitted to this hospital with fever and the subacute onset of
progressive neurologic symptoms that included multiple cranial-nerve palsies. Magnetic …

Presentation of Case A 60-year-old man was evaluated in the clinic in mid-June because of
fever, rigors, and sweats. The patient had been well until 10 days earlier, when anorexia, a …

Discussion On further questioning, the patient described suddenly awakening at night with a
bloody lesion on her lip 7 days before symptom onset. The lesion became painful and …

A 29-year-old man presented with a 1-week history of fever, night sweats, reduced appetite,
and left upper abdominal pain exacerbated by inspiration. He reported no weight loss …

Clinical examination. He looks slightly unwell. His temperature is 37.9 C; his pulse is 82
beats per minute; and his respiratory rate is 14 breaths per minute. Findings of chest …

An 81-year-old man was admitted to the hospital because he had had cough and fever for
two weeks and had recently become confused. He had had chronic lymphocytic leukemia …