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• W2095831983 abstract "This 15-year-old White female was admitted with a 7-10 day history of high fever, joint pain, and increasing shortness of breath. Her illness began 10 days prior to admission (PTA) with fever to 105°F and severe throat pain associated with blisters in the posterior oropharynx and what was thought to be enlarged right anterior cervical lymph nodes causing neck pain. She was seen in the acute care clinic at Disney World, Orlando, Florida, where she and her father were vacationing. A strep screen and heterophile antibody test were negative. She was discharged with symptomatic treatment. Over the next 2 days she had continued fever, an increasingly painful cough, pleuritic chest pain with dyspnea, watery diarrhea, decreased appetite, and intermittent abdominal pain. Seven days PTA she experienced right hip, right shoulder, and left knee pain. When her dyspnea increased, she was seen in the emergency department where a chest x-ray revealed a nodular pneumonia pattern. On admission she was unable to walk because of her hip pain and had moderate respiratory distress. Her temperature was 101.9°F, pulse 142 beats per minute, respirations 64 breaths per minute, blood pressure 101/57 mm Hg, and pulse oximetry 85% on room air. Tonsils were enlarged but there was no exudate. There was a slight fullness palpable from the right submandibular area to the mid neck. Exam of the heart was normal. There were decreased breath sounds at both lung bases. There was diffuse, poorly characterized pain around the right shoulder and right hip without appreciable joint effusion or increased pain on internal rotation. The rest of the physical exam was unremarkable." @default.
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• W2095831983 date "2010-08-19" @default.
• W2095831983 modified "2023-09-25" @default.
• W2095831983 title "A Teenager With Sore Throat and Neck Pain" @default.
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• W2095831983 doi "https://doi.org/10.1177/0009922810378739" @default.
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