２０歳男性 咽頭痛
咽頭培養GAS陽性 ＞＞ ペニシリン７日間服用 ＞＞ 筋肉痛の悪化 ＞＞ LVFX無効
胸痛の出現 ＞＞ azithromycin vancomycin, ceftriaxone 無効
胸部CT：右肺門部リンパ節腫脹、両側胸水、心嚢液貯留
HIV、EBV：陰性
肩と肘の関節腫脹
すぐに消える皮疹出現
まとめると：
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Pericarditis and pericardial effusion
Pleural effusions, greater on the left side than on the right
Transient rash
Fever
Anemia of inflammation
Recent pharyngitis
Acute arthralgia and possible arthritis involving the shoulders and elbows
Marked leukocytosis
Abdominal pain
Reported jerking movements during sleep
Thrombocytosis
Markedly elevated serum ferritin level
Mildly elevated alkaline phosphatase level
正解：N Engl J Med 2015;373:263-71.
咽頭培養GAS陽性 ＞＞ ペニシリン７日間服用 ＞＞ 筋肉痛の悪化 ＞＞ LVFX無効
胸痛の出現 ＞＞ azithromycin vancomycin, ceftriaxone 無効
胸部CT：右肺門部リンパ節腫脹、両側胸水、心嚢液貯留
HIV、EBV：陰性
肩と肘の関節腫脹
すぐに消える皮疹出現
まとめると：
///////////////////////////////////////////////////
Pericarditis and pericardial effusion
Pleural effusions, greater on the left side than on the right
Transient rash
Fever
Anemia of inflammation
Recent pharyngitis
Acute arthralgia and possible arthritis involving the shoulders and elbows
Marked leukocytosis
Abdominal pain
Reported jerking movements during sleep
Thrombocytosis
Markedly elevated serum ferritin level
Mildly elevated alkaline phosphatase level
正解：N Engl J Med 2015;373:263-71.