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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 60-Year-Old Japanese Man With Fevers, Myalgias, Pharyngitis, and Right Knee Pain

Atikun Limsukon, MD; Heather D. Jones, MD; Joel Feinstein, MD
Author and Funding Information

Affiliations: From the Division of Pulmonary, Allergy and Critical Care Medicine (Dr. Limsukon), Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Division of Pulmonary & Critical Care Medicine (Dr. Jones), and the David Geffen School of Medicine at UCLA (Dr. Feinstein), Cedars-Sinai Medical Center, Los Angeles, CA.

Correspondence to: Atikun Limsukon, MD, Department of Internal Medicine, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, 50200, Thailand; e-mail: atikun.limsukon@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(5):1428-1431. doi:10.1378/chest.09-0722
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Extract

A 60-year-old Japanese man presented to his primary care physician with a 2-week history of fevers, myalgias, fatigue, and sore throat. He was treated with amantadine and clarithromycin for 5 days without improvement. During this period, pain also developed in his right knee, and he sustained a 10-lb weight loss. There was no history of recent travel, contacts with sick individuals, or animal exposures. He was a nonsmoker, did not use illicit drugs, and drank socially. His other medications included metformin and rosuvastatin.

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