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Back Pain, Fever, and Cough in a 46-Year-Old Man

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Kathryn Whitaker, MD, Division of Infectious Diseases, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104 (Kathryn.Whitaker@pennmedicine.upenn.edu).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for providing permission to share his information. We would also like to thank Eileen Shanahan, MD (Pathology Associates of Princeton), for kindly providing the histopathology images and Laurel Glaser, MD, PhD (Department of Pathology and Laboratory Medicine, University of Pennsylvania), for her input in the preparation of the report. Neither of these individuals received any compensation for their contributions.

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