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A 26-year-old suspected Iraqi insurgent is brought to a Troop Medical Clinic in Baghdad, Iraq, with curious marks on his body. On questioning, he describes productive cough, subjective fever, drenching night sweats, and unintentional weight loss. This case shows a condition with which Western physicians are generally unfamiliar but one which quite possibly could be encountered by the deploying provider. CASE REPORT During Operation Iraqi Freedom, a 26-year-old suspected insurgent who wasdoi:10.7205/milmed-d-12-00219 pmid:23820370 fatcat:famh4kimebdppp74rb2c6dxziq