September 9, 2014
Weakness, Fatigue, and an Abnormal White Blood Cell Count
During the past 2 months, a 63-year-old man developed gradually worsening weakness and fatigue. He has had occasional night sweats but reported no fevers, weight loss, or change in appetite. He had type 2 diabetes mellitus treated with insulin, metformin, glyburide, and pioglitazone. He also had coronary artery disease complicated by a myocardial infarction and coronary artery bypass graft surgery 6 years ago.
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