We present a diagnostically challenging case of a 61-year-old man presenting with progressive weakness and intermittent low-grade fever.
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Contributors JM authored the manuscript with contributions from DS. HM reviewed the manuscript and suggested changes. AE oversaw the paper and made corrections and changes throughout.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Nicholas Davies, London, UK.