Case 10-1965

Presentation of Case A fifty-three-year-old business executive was admitted to the hospital because of persistent fever. Three weeks previously nausea, vomiting and diarrhea developed, with elevation of the temperature to 103°F. With aspirin and demethylchlortetracycline (Declomycin) the symptoms improved. He returned to work after a week but remained fatigued. During a game of golf twelve days before admission he became aware of a dull ache in both testes and in the left leg. One week later a physician examined him and found that the temperature was 100°F. A sulfonamide was administered, but the fever persisted. The pain in the lateral . . .