01606nam a2200265 4500 ESSALUD 20260903095913.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Matsumura, Masami Autor 54522 Immune interference páginas: 1847-1853 A 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. INFECCIONES BACTERIANAS 7357 MEDICINA CLÍNICA GENERAL 53666 INMUNODEFICIENCIA 54523 ENFERMEDADES INFECCIOSAS GENERALES 54087 Kanda, Naoki 54524 Hatakeyama, Shuji 54525 Dhaliwal, Gurpreet 53677 22717 22676 Massachusetts NEJM Group NEJM015 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-31 sqb 22918 22918