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Journal Article
Case 36-2008
2008
Overview
A 59-year-old man was admitted to this hospital with a 6-month history of chronic daily headache, fever, and myalgia. Dry mouth, polydipsia and polyuria, and pain in the jaws on chewing developed. Neuroimaging studies showed diffuse thickening and enhancement of the dura, extending to the pituitary stalk. Computed tomography revealed calcified nodules in the lungs and spleen. A diagnostic procedure was performed.
A 59-year-old man was admitted to the hospital with a 6-month history of chronic daily headache, fever, and myalgia. Neuroimaging studies showed diffuse thickening and enhancement of the dura, extending to the pituitary stalk. Computed tomography revealed calcified nodules in the lungs and spleen.
Presentation of Case
Dr. Adam B. Cohen
(Neurology): A 59-year-old man was admitted to the neurology service of this hospital because of chronic daily headache, fever, and myalgia.
Approximately 6 months earlier, the patient had begun having headache, accompanied by muscle spasms, generalized myalgia, weakness, fatigue, difficulty sleeping, and anxiety. The headache was constant, affected both temporal and frontal regions, and was not affected by posture. The temperature rose daily but remained below 37.8°C. Five months before admission to this hospital, he saw his internist at another hospital. The physical examination was normal. Amitriptyline at bedtime was prescribed, without improvement. . . .
Publisher
Massachusetts Medical Society
Subject
