{
  "abstract": "An 81‐year‐old man with a history of high‐grade urothelial carcinoma of the bladder and ureter on treatment with atezolizumab and tiragolumab presented to the emergency department with 5 months of malaise, generalized weakness, and fatigue and 2 weeks of subjective fevers. One month prior to presentation, he received an empiric 9‐day course of levofloxacin for possible epididymitis based on scrotal pain and an ultrasound showing mild bilateral epididymal prominence. Blood and urine cultures were negative. His constitutional symptoms persisted, and he developed a subjective fever 2 weeks prior to presentation. He was admitted for further evaluation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Medicine University of California, San Francisco San Francisco California USA",
    "Division of Hospital Medicine University of California, San Francisco San Francisco California USA",
    "San Francisco Veterans Affairs Medical Center San Francisco California USA",
    "Division of Hospital Medicine Oregon Health and Science University Portland Oregon USA",
    "Division of Cardiology University of California, San Francisco San Francisco California USA",
    "Division of Hematology/Oncology University of California, San Francisco San Francisco California USA",
    "UCSF Helen Diller Family Comprehensive Cancer Center San Francisco California USA"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Hadi Roudsari",
      "orcid": "0009-0002-7333-950X"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Gurpreet Dhaliwal",
      "orcid": "0000-0002-6134-5913"
    },
    {
      "affs": [
        3
      ],
      "name": "Anand D. Jagannath"
    },
    {
      "affs": [
        0,
        4
      ],
      "name": "Alan H. Baik",
      "orcid": "0000-0001-8840-8825"
    },
    {
      "affs": [
        0,
        5,
        6
      ],
      "name": "Sam Brondfield",
      "orcid": "0000-0001-7656-7490"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/78ff9gep13y03.bib",
  "cited_by": 0,
  "doi": "10.1002/jhm.70442",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728528/",
  "id": "78ff9gep13y03",
  "issns": [
    "1553-5592",
    "1553-5606"
  ],
  "landing_url": "https://doi.org/10.1002/jhm.70442",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Clinical Conundrum"
    ],
    [
      "openalex",
      "2730|Cancer Immunotherapy and Biomarkers"
    ]
  ],
  "openalex": "W7214765308",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jhm.70442",
  "pmcid": "PMC13728528",
  "pmid": "42806674",
  "published": "2026-09-28",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/78ff9gep13y03.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:29Z",
      "native_id": "PMC13728528",
      "source": "pmc",
      "url": "https://doi.org/10.1002/jhm.70442"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer Immunotherapy and Biomarkers",
      "subfield": "oncology"
    }
  ],
  "title": "Old disease, new twist",
  "title_text": "Old disease, new twist",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:29Z",
  "url": "https://research.draconitic.com/paper/78ff9gep13y03",
  "venue": "Journal of Hospital Medicine",
  "versions": []
}