Case 21-1995

Abstract

Presentation of CaseA 33-year-old man was admitted to the hospital because of fever and increasing pain in the right leg.The patient had been well until 11 days earlier, when a sore throat developed while he was attending a meeting in Texas. No other symptoms occurred, and he was aware of only low-grade fever. During the next week the sore throat gradually improved. Three days before admission the sore throat was barely noticeable, although fatigue was present. Late in the afternoon he had a shaking chill that lasted more than an hour. The temperature was 38.3 °C and rose . . .