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Fever of unknown origin: case presentation

BMJ 2006; 333 doi: (Published 31 August 2006) Cite this as: BMJ 2006;333:484
  1. R Sivakumar, specialist registrar, general medicine1 (,
  2. S Pavulari, senior house officer, general medicine1,
  3. S Ellis, consultant physician and rheumatologist1
  1. 1Lister Hospital, Stevenage, Hertfordshire SG1 4AB
  1. Correspondence to: R Sivakumar
  • Accepted 21 March 2006

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 …

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