Photo by geraninmo from unsplash
A previously healthy 12-year-old girl presented to a rural hospital with 10 days of intermittent fevers. On Day 19 of fever, the patient was referred to a tertiary paediatric centre.… Click to show full abstract
A previously healthy 12-year-old girl presented to a rural hospital with 10 days of intermittent fevers. On Day 19 of fever, the patient was referred to a tertiary paediatric centre. On arrival, she described lethargy, headache, mild photophobia, and pain affecting her neck and back. Her medical history was remarkable for diverse animal exposure, including chickens, rabbits, horses, seven cats, one kitten, a green-cheeked conure and a pet cow. Examination revealed isolated 5 mm left-sided cervical lymphadenopathy. There was mild lumbar spinal tenderness on palpation. Cardiac examination was normal. Ophthalmoscopy was not performed at presentation due to photophobia.
Journal Title: Medical Journal of Australia
Year Published: 2018
Link to full text (if available)
Share on Social Media: Sign Up to like & get
recommendations!