Case Presentations of the Harvard Affiliated Emergency Medicine Residencies| Volume 58, ISSUE 4, P682-686, April 2020

Fever of Unknown Origin

      Ms. Karin Collins: The case we will discuss today is that of a 35-year-old male who presented to our emergency department (ED) in late summer with chief complaint of fever and fatigue. Upon presentation, the patient reported undulating fevers and fatigue over the course of a month. The patient's symptoms initially began after a markedly stressful time at his work. Four weeks prior to presentation, the patient began to experience fevers and chills with night sweats every 2 to 3 days. Initially, he attributed these episodes to his increased burden at work and felt that his anxiety was worsening. However, after his work responsibilities decreased, his symptoms continued to progress.
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