TY - BOOK AU - Matsumura, Masami AU - Kanda, Naoki AU - Hatakeyama, Shuji AU - Dhaliwal, Gurpreet TI - Immune interference KW - INFECCIONES BACTERIANAS KW - MEDICINA CLÍNICA GENERAL KW - INMUNODEFICIENCIA KW - ENFERMEDADES INFECCIOSAS GENERALES N2 - 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 ER -