A 56-year-old Hispanic female from the Dominican Republic with no history of cardiac disease presented to an outside hospital in November 2012 with fever, abdominal pain, nausea, and vomiting.
One year prior to admission, the patient developed frequent flu-like symptoms with subjective fever, chills, diaphoresis, and myalgias. These symptoms would last about 1 week and resolve spontaneously. The patient’s daughter described at least six such episodes in the past year. She denied any exertional dyspnea, palpitations, chest pain, exercise intolerance, orthopnea, paroxysmal nocturnal dyspnea, or lower extremity edema.
HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.