UNASSIGNED: A 49-year-old @entity1 with an unremarkable past medical history presented to an outside hospital with a five-day history of fever, @entity425 , @entity925 and @entity10 . The @entity1 reported that the illness started as a fever and sore throat and he was originally diagnosed with @entity883 and prescribed antibiotics. The day after his initial diagnosis, his fever had progressed to include a @entity10 , @entity925 , a @entity1910 on his upper torso and right shoulder and @entity425 with preserved sensation. With progressively worsening symptoms, he eventually presented to a local @entity341 ( @entity341 ), five days after his symptoms first started. He was experiencing continued @entity425 , an @entity4764 , persistent fevers to 103  F, muscle aches, an intense band-like @entity10 and @entity911 . The @entity1 denied neck @entity2693 , @entity3917 , @entity1109 or any additional @entity425 . He denied any recent travel aside from work, any sick contacts, recent tick/insect bites, history of @entity2953 or contact with animals. He reported no history of illicit drug use as well as no recent weight loss, @entity130 or radiation exposure. The @entity1 had approximately a 10-pack-year @entity286 smoking history. For the last ten years he drank about a six-pack of beer daily while onshore (roughly two weeks out of every month). He works on an offshore oil platform. He was not taking any home medications besides his recently prescribed antibiotics. He lived alone at home in a moderately rural area of South Louisiana. His family history was non-contributory.

CLINICAL CASE OF THE MONTH: A 49-Year-Old @entity1 with Fever, XXXX and Leg Weakness.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity883 :: ('MESH:D013290', 'Disease') :: ['streptococcal pharyngitis'] @entity2953 :: ('MESH:D012749', 'Disease') :: ['sexually transmitted diseases'] @entity1910 :: ('MESH:D005076', 'Disease') :: ['rash'] @entity3917 :: ('MESH:D020795', 'Disease') :: ['photophobia'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity1109 :: ('MESH:D012678', 'Disease') :: ['loss of sensation'] @entity425 :: ('MESH:D018908', 'Disease') :: ['sudden-onset left leg weakness', 'muscle weakness', 'left leg weakness'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity925 :: ('MESH:D063806', 'Disease') :: ['myalgia'] @entity4764 :: ('MESH:D051346', 'Disease') :: ['inability to ambulate'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity2693 :: ('MESH:C566112', 'Disease') :: ['stiffness']
@entity10 :: (MESH:D006261,Disease) :: ['Headache']
