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Radiological Case of the Month
Elisabeth E. Adderson, MD;
Paula K. Shultz, MD;
John F. Bohnsack
From the Departments of Pediatrics and Radiology, University of Utah School of Medicine, Salt Lake City.
Arch Pediatr Adolesc Med. 1999;153:995-996.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 14-YEAR-OLD GIRL was referred for evaluation of a fever of unknown origin. She was in good health until 2 months previously, when she abruptly developed an elevated temperature and back pain. A urine culture was sterile. She had an elevated white blood cell count and a Westergren erythrocyte sedimentation rate of 116 mm/h. A chest radiograph and abdominal ultrasound were normal. Sinus radiographs indicated sinusitis. She was treated with azithromycin without improvement. A radionuclide bone scan demonstrated increased tracer uptake in the calvarium, left ninth rib posteriorly, and both knees. Results from radiographs of the skull and knees were normal. Serum antinuclear antibodies were positive with a level of 1:80. Several blood and urine cultures were sterile. Results of a serologic study for Epstein-Barr virus suggested a distant infection. A cytomegalovirus serologic study was negative.
The patient had . . . [Full Text of this Article]
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