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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:1929-1935 June 21, 2001 Number 25
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Case 19-2001— A 50-Year-Old Man with Fever and Joint Pain
Simon M. Helfgott, and Alexander Kratz

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Presentation of Case

A 50-year-old man was admitted to the hospital because of fever and arthralgias.

The patient had been in excellent health until six weeks earlier, when a sore throat, rhinorrhea, headaches, and low-grade fever developed. Two weeks later, all the symptoms improved for a few days, followed by a recurrence of fever (peak temperature, 39.4°C), night sweats, and occasional rigors. One week before admission, blood cultures and a tuberculin skin test were negative.

Four days before admission, the patient had pain in the right elbow and knees and pain and edema in the hands and feet. On the next day, laboratory . . . [Full Text of this Article]

Differential Diagnosis

Bacterial Infections

Viral Infections

Diseases Due to Molecular Mimicry

Inflammatory (Noninfectious) Diseases

Systemic Lupus Erythematosus

Clinical Diagnosis

Dr. Simon M. Helfgott's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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