Fever and Malaise Associated with a Painful Papule on the Ankle

Fever and malaise associated with a painful papule on the ankle.

A 29-year-old woman with no significant past medical history presented with malaise, fever, headache, inguinal lymphadenopathy, and a painful lesion on her ankle (Figures 1 and 2). Other pertinent findings on cutaneous examination included faint blanching 2to 3-mm macules on her trunk. ere were no oral lesions and no signs of embolic Fever and malaise associated with a painful papule on the ankle

A 23-year-old man with fever and malaise.

Acute infection with human immunodeficiency virus (HIV) is infrequently diagnosed, owing in large part to vague or non-specific symptoms. Among the most common of these symptoms are fever, fatigue, pharyngitis, lymphadenopathy, anorexia, arthralgia, myalgia, rash, and headache. Some patients seek no medical attention for such symptoms, and others recall no symptoms whatsoever. Physicians in all...

Fever and a painful knee.

* haemoglobin 12 g/dl * haematocrit 38 * white blood cells 12 x 109/1 * neutrophils 880 * reticulocytes 500 * blood urea nitrogen 7.5 mmol/l * serum creatinine 160 imol/l * serum bilirubin 21 tLmol/I * urine: appearance: cloudy protein 1 + 15 white blood cells + four red blood cells/high power field * X-ray (chest, abdomen, right knee): normal * serum electrolytes, phosphorus, glucose, hepatic ...

53-Year-old man with fever, malaise and dyspnoea.

The patient is a 53-year-old man with 2 weeks of fever, sore throat, malaise, intermittent vomiting and diarrhoea. He had developed dyspnoea 2 days prior to presentation to the emergency department. He denied rashes, cough, abdominal pain, insect bites and chest pain. The patient history is significant for coronary artery disease, hypertension, rheumatoid arthritis and hyperlipidaemia. The pati...

A pink papule on the forehead of a young woman