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Clinical Problem-Solving
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Volume 358:1496-1501 April 3, 2008 Number 14
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An Unintended Consequence — A 79-year-old man with a 5-month history of fatigue and 20-lb (9-kg) weight loss presented to his local physician
Nasia Safdar, M.D., Cybele L. Abad, M.D., Daniel R. Kaul, M.D., David Jarrard, M.D., and Sanjay Saint, M.D., M.P.H.

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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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 . . . [Full Text of this Article]

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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