Case 39282

Abstract
Presentation of CaseA fifty-two-year-old housewife was admitted to the hospital because of weakness and giddiness.For the previous three months her temperature had been elevated in the afternoon (to 100 to 102°F.), with afternoon and night sweats. At about the same time as the fever became manifest, she began to suffer from indigestion, with bloating and postprandial discomfort, but without real pain. She also became constipated. She was admitted to another hospital, where a gastrointestinal series, barium-enema examination, intravenous pyelogram, chest film, metastatic bone series and an electrocardiogram were reported as negative. One month before admission severe abdominal pain . . .