Age (yrs)/Sex | 9/F | 16/M | 11/M |
---|---|---|---|
Fever (weeks) | 2 | 16 | 6 |
Musculoskeletal complaints | Cervical spine | Elbow knee hip ankle | Myalgia Calf pain |
Other features | Cervical nodes | - | Cervical nodes Hepatomegaly |
Endemic area | Travel | Resident | Resident |
Unpasteurized milk ingestion | + | + | + |
Family history | - | - | Mother and sib |
WBC cumm/ESR mm/hr | 8300/109 | 5900/50 | 7460/50 |
Sonography | Splenic abscesses | - | Mesenteric, paraaortic nodes |
Serology | IgM + | IgM + | IgM and IgG + |
Blood culture | Negative | Negative | Negative |