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Published on: October 3, 2010
Clinical Problem-Solving: Lethargy and Fever in an Immunocompromised Patient
Samuel Snider1, Konstantin Stojanovic1, Dustin Donnelly2
1Department of Neurology, Massachusetts General Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Abstract:
We present the case of a 63-year-old woman with a glioblastoma multiforme on immunosuppressive steroid doses who developed lethargy and fever. We review the differential diagnosis and emphasize the importance of reframing the case when the clinical course differs from expectation. Once the diagnosis is evident, we discuss the incidence and clinical course in different patient populations.
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