Case 33-2018: A 57-Year-Old Man with Confusion, Fever, Malaise, and Weight Loss

A 57-year-old man with a history of tobacco smoking presented with confusion, cough, fever, and unintentional weight loss. An evaluation revealed consolidation in the left lower lobe and emboli to the brain, heart, spleen, kidney, and lungs. A diagnostic test was performed.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2018-10, Vol.379 (17), p.1658-1669
Hauptverfasser:	Neilan, Tomas G, Price, Melissa C, Sanborn, Danita Y, Gainor, Justin F, Chen, Athena
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenocarcinoma - complications Adenocarcinoma - diagnosis Anorexia Blood pressure Brain - diagnostic imaging Brain - pathology Cancer therapies Case reports Confusion - etiology Cough Diagnosis, Differential Echocardiography Edema Electrocardiography Endocarditis Endocarditis, Non-Infective - diagnosis Endocarditis, Non-Infective - etiology Fatal Outcome Fees & charges Fever Fever - etiology Heart - diagnostic imaging Heart rate Hospitals Humans Laboratories Lung - diagnostic imaging Lung - pathology Lung cancer Lung Neoplasms - complications Lung Neoplasms - diagnosis Lymphatic system Magnetic Resonance Imaging Male Mens health Middle Aged Mitral Valve - pathology Radiography, Thoracic Spleen Thrombophilia - etiology Tobacco smoking Tomography, X-Ray Computed Urine Ventilation Weight Loss
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Beschreibung
Zusammenfassung:	A 57-year-old man with a history of tobacco smoking presented with confusion, cough, fever, and unintentional weight loss. An evaluation revealed consolidation in the left lower lobe and emboli to the brain, heart, spleen, kidney, and lungs. A diagnostic test was performed.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc1802830