Presentation of Case First admission. A 70-year-old woman entered the hospital because of chills and fever.She had been in good health until six years previously, when leukoplakia of the tongue was found. Three years later a lingual biopsy revealed squamous-cell carcinoma, which was treated by local resection and later by left hemiglossectomy. She was well thereafter until seven months before admission, when a mass was found in the left side of the neck; a radical neck dissection disclosed squamous-cell carcinoma in two of five lymph nodes removed. Diabetes mellitus was found and was managed by diet alone. Three . . .