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Previous Volume 352:1358-1364 March 31, 2005 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 73-year-old man was admitted to the hospital in June because of fever, weakness, and pain in the muscles of his legs.

He had been well until seven days before admission, when a dry cough and rhinorrhea developed and lasted for two days. Six days before admission, he had traveled from Boston to coastal South Carolina to attend a conference. Three days before admission, he had had an intense aching pain in both thighs and a temperature as high as 39.4°C. Shortly after that, generalized weakness developed, and he began to have an intense aching pain in the muscles of . . . [Full Text of this Article]

Differential Diagnosis

Bacterial and Viral Infections

Parasitic Infections

Tick-Borne Diseases

Human Granulocytic Ehrlichiosis

Clinical Diagnosis

Dr. Howard M. Heller's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Infectious Disease Unit (H.M.H.) and the Department of Pathology (J.A.B.), Massachusetts General Hospital, Boston; the Division of Infectious Diseases, Tufts University School of Veterinary Medicine, North Grafton, Mass. (S.R.T.); the Departments of Medicine (H.M.H.) and Pathology (J.A.B.), Harvard Medical School, Boston; and the Laboratory of Public Health Entomology, Harvard School of Public Health, Boston (S.R.T.).

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