Abstract

Presentation of Case A 58-year-old man was admitted to the hospital because of fever, chills, night sweats, and cough. The patient was well until two or three months earlier, when he experienced the onset of malaise and easy fatigue, with a nonproductive cough and intermittent chest pain. Fever appeared, with occasional shaking chills and anorexia. During the months preceding entry the cough and chest pain worsened, and exertional dyspnea developed. One week before admission the temperature rose to 40°C, and he was no longer able to work. He was admitted to the hospital. Twenty years earlier the patient had worked . . .

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