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A 45-year-old man was admitted to the hospital because of a fever (temperature, 40°C), myalgia, and headache. He did not have diarrhea. On examination, he had bilateral proptosis with chemosis (Panel A) and eyelid edema. He had no trismus or subungual splinter hemorrhages. The white-cell count was 17,500 per cubic millimeter, and the differential count included 14 percent eosinophils (2450 per cubic millimeter). The serum creatine kinase level was 651 U per liter (normal range, less than 170 U per liter). An initial serologic test for trichinosis with the use of an enzyme-linked immunosorbent assay was negative (value, 0.09; a . . . [Full Text of this Article] |
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