A patient with PUO admitted for 19 days and yet no respite in his fever

A patient with PUO admitted with us for 19 days and yet no respite in his fever. [1] Recently detected diabetes, BPH, initially grew E Coli in small amount and later cultures sterile. The CT has been reported as bilateral centrilobular nodules of infective origin by our radiology department. [2] The LFT above is suggestive of dissemination although the transaminitis appears to be receding. [3,4] His Mantoux test was negative and this completes most of his work up here. A bone marrow is planned tomorrow for cultures, mtb, parasites and other infiltrates.

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