History A 64-year-old woman had been suffering from high fever with a temperature of 102 degree Fahrenheit daily for one month before visiting a clinic. In addition to fever, the patient experienced extreme muscle aches , fatigue , dry cough , headache , and a weight loss of 8 pounds . She also revealed the conditions of hypertension and anxiety as a part of her medical history. Lately, she did not travel anywhere, and she also does not own a pet in her house.
When asked about her family history, the patient revealed that her parents had cardiovascular ailments while her twin sister had breast cancer. Clinical assessment White blood cell count: 14,000/mm3 Haematocrit: 33.5% Absolute neutrophil count: 10,000/mm3 ESR: >120 mm/hr CRP: 238 mg/L TSH level: 1.19 uIU/mL. Electrophoresis results of urine and serum: Absence of any monoclonal spike Lyme antibody screening test: Negative…
