2 Weeks Of Fever in Medicine / Internal Medicine — 30yo Man | Infectious Diseases | SMLE Q#10970
SMLE Question #10970
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 30-year-old man who injects heroin presents to the emergency department with 2 weeks of fever, night sweats, pleuritic chest pain, and migratory arthralgia. Examination shows painless erythematous macules on the palms and splinter hemorrhages. Funduscopic examination shows round retinal hemorrhages with pale centers. He has no recent travel or rash elsewhere and is hemodynamically stable. What is the most likely diagnosis?
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