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Shapiro syndrome
Guthrie/Robert Packer Hospital, Sayre, Pennsylvania, USA.
email: chetan_shenoy@yahoo.com
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This previously healthy 34-year-old man presented with lethargy, confusion, episodic chills and profuse sweating of two months duration, associated with a 9 kg weight loss. Physical examination revealed delirium, significant diaphoresis, hypothermia with