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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
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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