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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1491-1497 May 13, 1999 Number 19
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Case 14-1999— A Nine-Year-Old Girl with Fever and Cervical Lymphadenopathy
Bradley J. Bloom, and Lawrence R. Zukerberg

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Presentation of Case

A nine-year-old girl was admitted to the hospital because of fever and cervical lymphadenopathy.

The patient had been well until four weeks earlier, when she began to have bilateral popliteal pain that extended upward over the posterior portions of the thighs. The pain decreased with rest and resolved spontaneously within a week. Fever (a temperature of up to 38.9°C) and sore throat soon developed. Twelve days before admission, the girl became fatigued and had anorexia and an enlarged lymph node. Five days before admission, laboratory studies were performed (Table 1 and Table 2). Two days later, cough, mild . . . [Full Text of this Article]

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Dr. Bradley J. Bloom's Diagnosis

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