01608nam a2200265   4500001000800000005001700008007000300025008004100028040000800069041000800077100003700085245002400122300002500146520078000171650003400951650003800985650002901023650004601052700002501098700003001123700003101153773011001184942003101294999001701325ESSALUD20260903095913.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aMatsumura, Masami eAutor954522  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 BACTERIANAS97357  aMEDICINA CLÍNICA GENERAL953666  aINMUNODEFICIENCIA954523  aENFERMEDADES INFECCIOSAS GENERALES954087  aKanda, Naoki 954524  aHatakeyama, Shuji 954525  aDhaliwal, Gurpreet 9536770 022717922676dMassachusetts NEJM GroupoNEJM015tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-08-31zsqb  c22918d22918