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- W3094868511 abstract "1. Sarah Gustafson, MD*,†2. Darien Nguyen, MD*3. Michael Bolaris, MD*,† 1. *Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA2. †David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CAA previously healthy 10-year-old boy presents with 12 days of headache, 8 days of fever, and 3 days of generalized weakness. His headaches are associated with photophobia and localize to the right retro-orbital region. The headaches and daily fevers (102o–104oF [38.9o–40oC]) are unresponsive to medications. On the day of hospital admission he has developed worsening fatigue, weakness, intermittent pain in his posterior thighs and calves, and a limp favoring his left side, and he has started dropping objects. His eyes also appeared red 1 day before admission. His mother notes a 2-lb weight loss during the past week. There is no congestion, rhinorrhea, sore throat, chest pain, abdominal pain, emesis, hematuria, dysuria, diarrhea, rash, easy bruising, or easy bleeding. He lives in a suburban home with 4 dogs and 1 cat. Other animal exposures include multiple rats in the backyard but no known direct contact with the patient. He has not traveled recently and denies new food exposures or sick contacts. He is fully immunized.His temperature is 103.1oF (39.5oC), heart rate is 146 beats/min, blood pressure is 115/64 mm Hg, respirations are 22 breaths/min, and oxygen saturation is 100% on room air. On physical examination he is tired but well-appearing, with no pallor or jaundice. No conjunctivitis is noted. There is pain on passive neck flexion. A 1-cm left anterior cervical lymph node is palpated. Mucous membranes are dry, lips are cracked, and he is tachycardic with a 2/6 systolic murmur at the left sternal border. Neurologic and musculoskeletal examination findings are normal except for an antalgic gait favoring the left side. Laboratory evaluation is significant for the following values: white blood cell count …" @default.
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- W3094868511 date "2020-11-01" @default.
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- W3094868511 title "Fever and Headache in a 10-year-old Boy" @default.
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- W3094868511 doi "https://doi.org/10.1542/pir.2019-0067" @default.
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