Take the Case Challenge!

Posted by Karen Buckley • September 26th, 2013

A 29-year-old man was seen in an outpatient clinic because of abdominal pain, fever and weight loss. Read the case description for the next Case Record of the Massachusetts General Hospital.

What is the diagnosis in this patient?

a. Visceral Kaposi’s sarcoma

b. Miliary tuberculosis

c. Gastric lymphoma with hemorrhage

d. Disseminated histoplasmosis

e. Pneumocystis jirovecii pneumonia

f. Cytomegalovirus infection

Vote and comment now, and find the answer in the full text of the Case Record to be published on October 10.

Follow the conversation with #NEJMCases on Twitter or Facebook.

24 Responses to “Take the Case Challenge!”

  1. khaing thandar says:

    disseminated histoplasmosis

  2. Gopal chawla says:

    Miliary tuberculosis

  3. Rebeen says:

    miliary tuberculosis

  4. Victor says:

    Miliary tuberculosis

  5. mohamed ezzat says:

    e.pneumocystis jirovecii pneumonia

  6. Ingrid Alvarez says:

    miliary tuberculosis

  7. María Magdalena says:

    Miliary tuberculosis

  8. Hisham Bahmad says:

    Miliary TB

  9. jesus salcedo says:

    b. Miliary tuberculosis

  10. Alejandra says:

    I would say, my suspicion is Miliary tuberculosis, the diagnosis test would be sputum smear and PCR in sputum. Thank you for publishing this interesting case.

  11. Crhistian Toribio says:

    Miliary Tuberculosis

  12. Calixto rivas says:


  13. Jim Jimenz says:

    Miliary TB,

  14. Judy says:

    Military TB

  15. Swapnil says:

    kaposi’s sarcoma

  16. Daniel Fernando Pérez says:

    abdominal pain, fever and weight loss Miliary tuberculosis

  17. Juan Sánchez Ceña says:


  18. Dr.Vipul Taneja says:

    MILLIARY TB,several millets like opacities are present in x-ray,plus in history there is fever and weight loss,abdominal pain may be because abdominal spread of TB

  19. cardios1970 says:

    Miliary tuberculosis

  20. Harry Chavez says:

    b. Miliary tuberculosis.

  21. dby says:

    Disseminated Histoplasmosis

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