01474nam a2200241   4500001000800000005001700008007000300025008004100028040000800069041000800077100003000085245002400115300002500139520078000164650002800944650003100972650002201003650003901025700001801064700002301082700002401105773010301129ESSALUD20260903095913.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aMatsumura, Masami eAutor  aImmune interference  apáginas: 1847-1853  aA 62-year-old man was admitted to the hospital for malaise, anorexia, rash, and diffuse lymphadenopathy. Fatigue and anorexia had begun 6 months earlier. Four months before admission, a pruritic rash developed on the back and during the next several days spread to the abdomen, arms, and legs. The rash did not resolve with topical glucocorticoids, antihistamines, or antibiotics (cephalosporin followed by fluoroquinolone). One month before admission, he completed a course of antibiotics and underwent a cervical-lymph-node biopsy at another hospital. The specimen showed granulation tissue with infiltration of lymphocytes, plasma cells, neutrophils, and a small population of atypical T cells but was inconclusive. No microbiologic studies were performed on the specimen.  aINFECCIONES BACTERIANAS  aMEDICINA CLÍNICA GENERAL  aINMUNODEFICIENCIA  aENFERMEDADES INFECCIOSAS GENERALES  aKanda, Naoki   aHatakeyama, Shuji   aDhaliwal, Gurpreet 0 022717dMassachusetts NEJM GroupoNEJM015tThe New England Journal of Medicine wESSALUDx0028-4793