A 51-year-old woman presented with 2 weeks of fevers and postprandial abdominal pain.
The symptoms began insidiously and were accompanied by nausea, vomiting, headache,
and dizziness. Review of systems was also notable for joint pain in her hands and
feet for the past year. She had otherwise been well, and had no diarrhea, urinary
symptoms, skin complaints, cough, dyspnea, or focal neurologic symptoms. She had hypertension
and diabetes and took metformin and lisinopril. She was originally from Mexico but
had lived in Houston, Texas for years without traveling. She had no occupational exposures
and did not smoke, drink, or use recreational drugs.
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Article Info
Publication History
Published online: October 14, 2022
Thomas J. Marrie, MD, Section EditorPublication stage
In Press Journal Pre-ProofFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing the manuscript. EYX: Conceptualization and writing–original draft, Writing–review & editing; RLP: Conceptualization and writing–original draft, Writing–review & editing; ZS: Conceptualization and writing–original draft, Writing–review & editing, Supervision.
Identification
Copyright
Published by Elsevier Inc.
