A 14-Year-Old Boy With Unexplained, Recurring Fever

Shah Azmoon, MD; Matthew Budoff, MD; David Atkinson, MD


June 17, 2019

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A 14-year-old Japanese male presents with a 2-week history of unrelenting fever and generalized fatigue. He has had been experiencing mild headaches and associated mild neck stiffness, with elevation of his temperature that resolves with antipyretics. He and his family have visited several community emergency departments, where he has had multiple negative lumbar punctures and was last given a diagnosis of aseptic meningitis.

He recently developed dry, fissured lips and some skin peeling. He is otherwise without any specific symptoms, such as cough, shortness of breath, abdominal pain, back pain, or urinary complaints. He has no significant medical or family history, and he is not taking any medications.


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