Middle-aged Man With Fever and Neurologic Signs

BENNETT LORBER; RONALD N. RUBIN

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Middle-aged Man With Fever and Neurologic Signs

机译：发烧和神经系统症状的中年男子

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A 52-year-old man is admitted to the hospital for altered mental status and fever of 2 days' duration.HISTORY: He has a several-year history of chronic lymphocytic leukemia (CLL), currently stage IV, and has over the years received aggressive therapy with cyclophospha-mide, prednisone, rituximab and, most recently, fludara-bine and dexamethasone several weeks ago. His wife noticed intermittent confusion and delirium-like episodes over the past week, but until today she could arouse him to a near-normal cognitive state. When the fever manifested, she brought him for medical evaluation. He has not traveled away from home in recent months, but he did attend a family picnic 2 weeks earlier, where a variety of meats and prepared salads were served.

机译：一名52岁的男子因精神状态改变和发烧持续2天而入院。历史：他有慢性淋巴细胞性白血病（CLL）的几年病史，目前处于IV期，并且已经几周前，他们接受了环磷酰胺，泼尼松，利妥昔单抗以及最近的氟达拉滨和地塞米松的积极治疗。过去一周，他的妻子注意到间歇性的混乱和类似and妄的发作，但是直到今天，她仍可以将他唤醒到接近正常的认知状态。发烧时，她带他去了医学检查。他最近几个月没有出门旅行，但是他确实在2周前参加了一次家庭野餐，提供各种肉类和准备好的沙拉。

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《Consultant.》 |2012年第5期|共2页
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BENNETT LORBER; RONALD N. RUBIN;
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正文语种 eng
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Middle-aged Man With Fever and Neurologic Signs

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