Case 35-1971

Abstract

Presentation of Case First admission. A 60-year-old woman was admitted to the hospital because of fever.She had been well until six years previously, when arthralgia developed in multiple joints; she was treated with aspirin and indomethacin. Six months before admission she had a shaking chill and fever, which recurred once or twice monthly until the time of entry, lasting for a few hours on each occasion and followed by fatigue. During the two months before entry she experienced malaise, and chills and fever occurred as often as three times weekly, usually at night.Thirty-four years earlier the patient's . . .