Abstract
Our patient was a 59-year-old Caucasian man who had been in good health until 4 months prior to presentation. Then, he developed daily high fevers, drenching night sweats, malaise, and a profound 45-lb weight loss. He also suffered from a sore throat, migratory arthralgia, myalgia, and a diffuse, constant abdominal ache. He reported no nausea, emesis, or bowel changes, and he had no cardiopulmonary, neurologic, or dermatologic symptoms. He had not traveled outside of his home state of Pennsylvania recently, had not been exposed to ticks, and had no risk factors for human immunodeficiency virus (HIV) or tuberculosis.
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