No Prominent Respiratory Or in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#568
SMLE Question #568
Medicine / Internal Medicine
Infectious Diseases
Last updated: February 2026
Ten- and 11-year-old children return from a rural camping trip where they assisted on a farm. They ate partially cooked meat and drank unpasteurized goat and cow milk. One week later, several develop intermittent fever, malaise, anorexia, and diffuse myalgia and arthralgia. Examination shows low-grade fever and mild hepatosplenomegaly, with no prominent respiratory or gastrointestinal symptoms. What is the most likely diagnosis?
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