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Articles by Chaiya Laoteppitaks, M
Real-Time Readings
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edited by Mark Silverberg, MD
The Case: 
A 30 year old male presents to your ED complaining of fevers and rash for the past 3 days. The fever has been fluctuating but has been as high as 103 degrees Fahrenheit. He also complains of chills, mylagias, sweats and a decreased appetite. He has a severe headache and some neck stiffness but no photophobia. He denies any further neurological complaints. This morning he noticed many “small bumps” on his chest, back and arms. He has no known medical problems, but readily admits that he has not seen a physician in 10 years. He does not remember having chicken pox as a child but thinks that he may have had it when he was a baby.
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