Case 31-2024: A 37-Year-Old Man with Fever, Myalgia, Jaundice, and Respiratory Failure

N Engl J Med. 2024 Oct 10;391(14):1343-1354. doi: 10.1056/NEJMcpc2402493.

Authors

William C Hillmann¹, Ryan Chung¹, Amir M Mohareb¹, Miranda E Machacek¹, Robyn A Stoddard¹

Affiliation

¹ From the Departments of Medicine (W.C.H., A.M.M.), Radiology (R.C.), and Pathology (M.E.M.), Massachusetts General Hospital, and the Departments of Medicine (W.C.H., A.M.M.), Radiology (R.C.), and Pathology (M.E.M.), Harvard Medical School - both in Boston; and the Bacterial Special Pathogens Branch, Centers for Disease Control and Prevention, Atlanta (R.A.S.).

PMID: 39383462
DOI: 10.1056/NEJMcpc2402493

No abstract available

Publication types

Clinical Conference

MeSH terms

Adult
Biopsy
Diagnosis, Differential
Doxycycline / administration & dosage
Fever* / diagnosis
Fever* / drug therapy
Fever* / microbiology
Humans
Jaundice* / diagnosis
Jaundice* / drug therapy
Jaundice* / microbiology
Leptospira / isolation & purification
Leptospirosis* / complications
Leptospirosis* / diagnosis
Leptospirosis* / drug therapy
Leptospirosis* / microbiology
Liver / microbiology
Liver / pathology
Lung / diagnostic imaging
Lung / pathology
Male
Myalgia* / diagnosis
Myalgia* / drug therapy
Myalgia* / microbiology
Respiratory Insufficiency* / diagnosis
Respiratory Insufficiency* / drug therapy
Respiratory Insufficiency* / microbiology
Tomography, X-Ray Computed
Treatment Outcome

Substances

Doxycycline