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A man with intermittent fever and arthralgia
Department of Rheumatology, Macclesfield District
General Hospital, Victoria Road, Macclesfield, Cheshire SK10
3BL
Correspondence to: Dr Symmons.
Accepted for publication 15
September 1988
| The first 150 words of the full text of this article appear below. |
 |
Case report |
|---|
A 44 year old, previously healthy, white man, who was a milk depot
manager, was referred to a general physician in November 1991 with a 16 month history of febrile episodes, lasting for three or four days,
which recurred approximately every six weeks. During the episodes his
temperature rose to 40°C, he felt flu-like and had aching limbs and
profuse night sweats. He had no other symptoms of note and in
particular no rash, no weight loss, no joint swelling, and no
gastrointestinal or genitourinary symptoms. There was a family history
of thyroid disease. He smoked 15-20 cigarettes a day. He had been on
holiday to Tunisia in 1987, the Greek islands in 1990 and Portugal in
1991. He weighed 81.2 kg. No abnormalities were found on examination.
Initial investigations focused on screening for infection. Full blood
count, erythrocyte sedimentation rate, renal function, liver function,
thyroid function, chest radiography, and computed tomography of the
abdomen were normal.
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