35-year-old Cattle in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#16943
SMLE Question #16943
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 35-year-old cattle farmer has 3 months of fatigue, malaise, low back pain, and intermittent aching in both knees. He frequently drinks unpasteurized goat milk. Examination shows mild lumbar paraspinal tenderness and bilateral knee crepitus without effusion. Multiple blood cultures have been negative. What is the most appropriate next diagnostic step?
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