Posts Tagged ‘fever’

A Chilly Fever

Posted by Carla Rothaus • 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 Sara Fazio • 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… Read More…

Fever, Rash, and Renal Failure

Posted by Sara Fazio • 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… Read More…

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

Posted by Sara Fazio • 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… Read More…

Acute Flank Pain

Posted by Sara Fazio • 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,… Read More…

A 20-Year-Old Man with Ear Pain, Fever, and Headache

Posted by Sara Fazio • January 18th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 20-year-old man was transferred to the hospital because of recurrent ear pain for 8 months despite antibiotics, with new fever and headache. Imaging showed opacification of the middle ears and mastoid air cells and erosion of the right temporal bone. Intracranial bacterial infections can… Read More…

Fevers, Arthralgias, and Pulmonary Infiltrates

Posted by Sara Fazio • November 30th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 21-year-old man presented with fever, arthralgias, dyspnea, and periorbital swelling. Examination revealed periorbital edema and erythema. Chest CT revealed bilateral subpleural reticular and ground-glass opacities. Diagnostic tests and a diagnostic procedure were performed. The presentation of a previously healthy patient with fever, arthritis, rash,… Read More…

Fever and Back Pain

Posted by Sara Fazio • August 24th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 70-year-old woman was admitted because of intermittent fevers and new-onset back and leg pain. Imaging of the lumbar spine revealed abnormalities in the vertebral bodies adjacent to the L5–S1 disk space. A diagnostic result was received. Brucellosis is widespread in the Middle East. Serologic… Read More…