A 14-Year-Old Boy With Unexplained, Recurring Fever

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A 14-Year-Old Boy With Unexplained, Recurring Fever

No Results

No Results

Shah Azmoon, MD; Matthew Budoff, MD; David Atkinson, MD

June 17, 2019

Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

A 14-year-old Japanese male presents with a 2-week history of unrelenting fever and generalized fatigue. He has had been experiencing mild headaches and associated mild neck stiffness, with elevation of his temperature that resolves with antipyretics. He and his family have visited several community emergency departments, where he has had multiple negative lumbar punctures and was last given a diagnosis of aseptic meningitis.

He recently developed dry, fissured lips and some skin peeling. He is otherwise without any specific symptoms, such as cough, shortness of breath, abdominal pain, back pain, or urinary complaints. He has no significant medical or family history, and he is not taking any medications.

Medscape © 2019  WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Shah Azmoon, Matthew Budoff, David Atkinson. A 14-Year-Old Boy With Unexplained, Recurring Fever – Medscape – Jun 17, 2019.

Fellow, New York Medical College, Department of Cardiology, Valhalla, New York

Disclosure: Shah Azmoon, MD, has disclosed no relevant financial relationships.

Director, Cardiovascular Imaging, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center; Associate Professor of Medicine, Division of Cardiology, Harbor-UCLA Medical Center, Torrance, California

Disclosure: Matthew Budoff, MD, has disclosed no relevant financial relationships.

Associate Professor of Medicine, Division of Pediatric Cardiology, Harbor-UCLA Medical Center, Torrance, California

Disclosure: David Atkinson, MD, has disclosed no relevant financial relationships.

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A 14-Year-Old Boy With Unexplained, Recurring Fever

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A 14-Year-Old Boy With Unexplained, Recurring Fever

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