16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…

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