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Previous Volume 352:1914-1918 May 5, 2005 Number 18 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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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 17-year-old boy presented to his primary care physician, reporting four days of low back pain, a temperature as high as 40°C, headache, diffuse myalgias, and vomiting. The patient had previously been healthy. He lived in the central Midwest and was about to begin his senior year in high school. He said that he did not use drugs or alcohol and he . . . [Full Text of this Article]

Commentary

Source Information

From Methodist Hospital, Indianapolis (D.R.K.); and the Department of Internal Medicine, University of Michigan Medical School (S.A.F., S.S.), and the Department of Veterans Affairs Health Services Research and Development Center of Excellence (S.S.) — both in Ann Arbor, Mich.

Address reprint requests to Dr. Kaul at the Division of Infectious Diseases, University of Michigan Medical Center, Ann Arbor, MI 48109, or at kauld@umich.edu.

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