BMJ  2006;333:484 (2 September), doi:10.1136/bmj.38950.394340.68

Practice

Interactive case report

Fever of unknown origin: case presentation

¹ Lister Hospital, Stevenage, Hertfordshire SG1 4AB

The first 150 words of the full text of this article appear below.

A 19 year old university student was admitted to our hospital with history of high grade swinging temperature up to 39°C. She had had a sore throat, which lasted for a few days, accompanied by fever, rigors, and myalgia. Her general practitioner prescribed amoxicillin, and she subsequently developed a macular rash on her wrists, back, and legs associated with the fever spikes. The symptoms were persistent over three weeks, prompting referral to our department. She had travelled to Italy recently and recollected being bitten by mosquitoes. She had no history of recreational drug use or sexual contact and she was not taking any regular medication.

On initial examination she was tachycardic (100 beats/minute) and febrile (37.5°C) with a blood pressure of 108/68 mm Hg. Her oral cavity and cardiovascular, respiratory, abdominal, and nervous system examinations were normal. There was no lymphadenopathy. Her right knee was tender but she had no . . . [Full text of this article]

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