Episode #333: Wicked High Fever and Rash From Supplements

Barbell Medicine Podcast

In this "mystery case" episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through a real medical case of a 21-year-old male who presents to the emergency department with a 5-day history of fever, headaches, and a 1-day history of an itchy rash. The rash started on his face and spread to his chest, back, and thighs, sparing his palms and soles. He also reported nausea, vomiting, and diarrhea. He's been taking a weight loss supplement and his fever persists to greater than 104* F. What's the diagnosis?

References:

• Case: https://pubmed.ncbi.nlm.nih.gov/25367505/
• Dinitrophenol and obesity: an early twentieth-century regulatory dilemma
• The Return of Rainbow Diet Pills
• 2,4-Dinitrophenol (DNP): A Weight Loss Agent with Significant Acute Toxicity and Risk of Death
• United States v. Bachynsky

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