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Susan Mary Stuart, DO; CDR Michael James Nowicki, MC, USN
From the Department of Pediatrics (Dr Stuart), and the Division of Pediatric Gastroenterology, Department of Pediatrics (Dr Nowicki), Naval Medical Center, Portsmouth, Va.

Arch Pediatr Adolesc Med. 1998;152:823-824.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PREVIOUSLY healthy 5-year-old girl was referred for evaluation of "spiking" fevers (temperature to 41.1°C) that had occurred for 6 weeks. Fever aside, she was asymptomatic. There were no complaints of abdominal pain, rashes, weight loss, joint pain, or night sweats. There was no history of foreign travel.

On initial evaluation the results of the physical examination were normal except for a nontender 1x1x1-cm left axillary lymph node. The liver and spleen were not enlarged. Laboratory data included the following values: white blood cells, 8.8x10⁹/L, with 0.60 neutrophils, 0.29 lymphocytes; erythrocyte sedimentation, 84 mm/h; alkaline phosphatase, 168 U/L; alanine aminotransferase, 37 U/L; -glutamyltranspeptidase, 37 U/L; lactate dehydrogenase, 785 U/L. Findings were negative for heterophile antibody analysis; normal, urinalysis;negative, rheumatoid factor; negative, antinuclear antibody; negative, serology for cytomegalovirus; and normal, chest radiograph. Results of . . . [Full Text of this Article]