Posts Tagged ‘fever’

A Pregnant Woman with Fever

Posted by • May 27th, 2016

Listeriosis is a rare but notorious cause of chorioamnionitis. Listeriosis is caused by Listeria monocytogenes, an environmentally ubiquitous, facultative, anaerobic gram-positive bacillus. In humans, listeriosis is almost exclusively a foodborne disease, and unheated processed meats and unpasteurized soft cheeses can be contaminated with listeria; pregnant women should avoid eating such foods. Listeriosis is a nationally… Read More…

A Man with Fever and Bacteremia

Posted by • July 10th, 2015

In the latest Case Record of the Massachusetts General Hospital, fever developed in a 37-year-old American man living in Vietnam. He was transferred from a local infirmary to an international hospital. A blood culture grew Streptococcus constellatus; fever resolved with antibiotics. The patient was transferred for further evaluation. The finding of Streptococcus constellatus bacteremia mandates… Read More…

In Sight and Out of Mind

Posted by • June 5th, 2015

In the latest Clinical Problem-Solving article, a 21-year-old man presented to the emergency department with fever and rash. His fever had started about 1 week before presentation and was associated with chills, myalgia, nausea, and vomiting. He also had a headache without photophobia. In the United States, recent declines in the rate of vaccination against measles… Read More…

A Woman with Headache and Fever

Posted by • April 9th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 28-year-old woman was seen in the emergency department of this hospital because of the acute onset of headache, fever, rash, and myalgias. On examination, she had petechiae on the chest, abdomen, and thighs and a purpuric lesion on the right shoulder. Neisseria meningitidis is the… Read More…

Take the Case Challenge: A Woman with Headache, Fever, and Rash

Posted by • March 26th, 2015

A 28-year-old woman presented with headache, fever, and a rash, plus nausea and one episode of nonbloody, nonbilious emesis. The skin lesions were small, red, flat, nonpruritic, and nonpainful. What is the most likely diagnosis? What diagnostic tests are indicated? Read the case description. Then vote and comment about what the diagnosis may be and what… Read More…

A Chilly Fever

Posted by • November 7th, 2014

A 30-year-old graduate student presented with fevers associated with shaking chills and severe headaches. He had been well until 1 week before presentation, when he began to have daily fevers, with temperatures as high as 39.4°C. Any fever in a patient who has had possible exposure to malaria should prompt consideration of this diagnosis. Clinical Pearls… Read More…

19-Year-Old Woman with Headache, Fever, Stiff Neck, and Mental-Status Changes

Posted by • June 20th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 19-year-old woman was admitted to the pediatric ICU because of a headache, fever, photophobia, neck stiffness, and mental-status changes. She was drowsy and disoriented with respect to year. She had truncal ataxia and rotatory nystagmus, and her face and right arm were numb. In a… Read More…

Fever, Rash, and Renal Failure

Posted by • February 14th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 59-year-old man was admitted to the hospital because of fever, confusion, rash, thrombocytopenia, and renal failure, 10 days after a hunting trip in the Nevada valley. The combination of suspected infection, vasculopathy of small or medium-size vessels, thrombocytopenia, myositis, myocarditis, encephalitis, and possible tick exposure… Read More…

A 9-Year-Old Boy with Fever, Cough, and Respiratory Distress

Posted by • March 22nd, 2013

In the newest Case Record of the Massachusetts General Hospital, a 9-year-old boy was admitted to the hospital because of fever, cough, respiratory distress, and chest pain. Imaging revealed ill-defined nodular opacities throughout all lung lobes, areas of consolidation, and mediastinal and hilar lymphadenopathy. The diagnosis of pediatric pneumonias is best approached by multifactorial evaluation of… Read More…

Acute Flank Pain

Posted by • February 1st, 2013

In the latest Case Record of the Massachusetts General Hospital, a 50-year-old man presented with flank pain and fever. CT of the abdomen and pelvis showed a focal wedge-shaped defect in the left inferolateral kidney. The differential diagnosis of acute-onset flank pain must begin with a consideration of renal colic due to a renal calculus, which… Read More…