Case 36: a difficult diagnosis in a patient with fever and progressive multi-organ failure.
A man in late middle age presented with fever, systemic symptoms, raised inflammatory markers and anaemia of chronic disease. Despite two months of investigation, the diagnosis of a haematological malignancy was made only at autopsy.
Gabriel
Ian H
IH
Department of Haematology, St Mary's Hospital, London, UK.
Chong
Nick
N
Rice
Alexandra
A
Negus
Rupert
R
Bain
Barbara J
BJ
D000368:Aged; D000740:Anemia; D005334:Fever; D006651:Histocytochemistry; D006801:Humans; D007249:Inflammation; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis*; D008297:Male; D009102:Multiple Organ Failure; D049268:Positron-Emission Tomography; D019043:Vascular Neoplasms / Q000175:diagnosis*