An 18 Year Old Girl with Recurrent Fever

Patient Name: ABELMOSCHUS160017ESCULENTUS

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This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable Click Here).

A 18 year-old-girl presents with the complaints of fever for 2 months and had an initial high grade fever for 15 days associated with chills and rigor for which antimalarial treatment and monocef was given for 8 days. After 10 days she also complained of low backache which was more in the left buttock (pain localized by us to sacra-iliac joints).

Recently she started complaining of fever associated with chills and vomiting, headache and vertigo. She remains alright as long as she takes medicines.

This girl has malaria smear and antigen negative fever which is recurrent (see attached charts) and the fever is responding to chloroquin. She also has skin lesions on forehead and forearms reportedly due to her own scratching (?pathergy).

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