The Girl with the Curl

A 47-year-old woman was admitted to the hospital because of fever (temperature, 38°C) during the previous 24 hours, without chills, cough, or dysuria. Forty days before admission, she had received a kidney transplant from a cadaver because of renal failure due to lupus nephritis. She was receiving daily treatment with cyclosporine (8 mg per kilogram of body weight), azathioprine (1.5 mg per kilogram), and prednisone (25 mg). The post-transplantation course had not been unusual, and there had been no episodes of acute rejection. On admission the physical examination was unremarkable, and the blood pressure was normal.Isolated fever, . . .