Abstract
CLINICAL HISTORY A 17-year-old male student was admitted for evaluation of left upper limb and back pain with fever of 5 months’ duration. He was well until February before his admission, when he first experienced mild, intermittent right anterior thigh pain gradually increasing in frequency and severity. After 1 month, he experienced lower back pain and tenderness, especially about the sacroiliac joints. By June of the same year, he had developed similar pains in the left anterior thigh, both calves, and biceps muscles. He complained additionally of persistent headache, nausea, and fatigue. He had fevers and sweats the month before hospitalization and a 2.27-kg weight loss over the week prior to his admission.
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