Myopathy in a 61-year-old Hispanic man

Fever and a rash in a 61 year old man

A 61 year old white homosexual man complained of profound fatigue, proximal lower extremity weakness, myalgias, and fever of two days’ duration. He also complained of a worsening rash over his proximal upper extremities, trunk, and back for the past month. Two months earlier he had been diagnosed with seronegative rheumatoid arthritis when he presented with bilateral hand and wrist pain. He den...

Fever and rash in a 61 year old man

A 61 year old white homosexual man complained of profound fatigue, proximal lower extremity weakness, myalgias, and fever of two days’ duration. He also complained of a worsening rash over his proximal upper extremities, trunk, and back for the past month. Two months earlier he had been diagnosed with seronegative rheumatoid arthritis when he presented with bilateral hand and wrist pain. He den...

Congestive heart failure in a 61-year-old man.

A 61-year-old man with asymptomatic, bilateral lung masses.

The Clinical Case of the month is a regular educational feature presented by the Louisiana State University Department of Medicine. Medical students, residents, postdoctoral fellows, and faculty collaborate in the preparation of these manuscripts. After reading this article, physicians should be better able to: 1) Increase awareness of the incidence and types of opportunistic infections which m...

A 61-Year-Old Man with Nonresolving Pneumonia and Bronchorrhea

A 61-year-old man presented to his primary care physician with progressive dyspnea on exertion that was associated with persistent dry cough for 1 week. On review of systems, he denied fever and chills. The patient’s past medical history was significant for sarcoidosis diagnosed 20 years ago following lymph node biopsy. At that time, he recovered without complications. The patient also experien...