History of Present Illness A 46-year-old female was brought to the emergency department with complaints of sore throat, malaise and low-grade fever for 2 weeks. Four days prior to admission, she experienced fever of 104 o F, chills, nausea and vomiting, and arthralgias and myalgias.
Past Medical History Chronic anemia due to beta-thalassemia Hyperthyroidism S/P 125I treatment with resulting hypothyroidism History of benign systolic ejection murmur for 15 years Physical Examination Vitals: Temp 98.8F, pulse 102, resp 16, BP 100/70 Mild pharyngeal erythema with no exudate Shoddy anterior cervical lymphadenopathy A 2/6 systolic ejection murmur that was non-radiating Mild diffuse abdominal tenderness but no rebound Joint examination: no swelling, erythema or warmth of any of the peripheral joints No rashes or other cutaneous abnormalities Laboratory Studies Hematocrit 25.1%; WBC 14.2 with…
