Fever and Joint Pain in a 48-Year-Old Man

A 48-year-old man presents to the emergency department (ED) with a 10-day history of intermittent subjective fever and pain in his hands. He has also noticed 2 swollen and painful areas on his thumbs. Concurrently with the fever, he reports weakness, malaise, watery diarrhea, weight loss, anorexia, and intermittent vomiting.





http://cme.medscape.com/viewarticle/731210?src=emed_case_nl_0&uac=149212BX