Case 25-1981

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Abstract
Presentation of CaseA 40-year-old woman was admitted to the hospital because of recurrent gastrointestinal bleeding.Ten years earlier she underwent surgical repair of a hiatus hernia at another hospital. Within 24 hours she was returned to the operating room because of an unknown complication. During the following year a stitch was removed from an incision site. At about the same time she began to complain of intermittent pain in the left shoulder that was aggravated by coughing. She was otherwise well until two months before admission, when she had a febrile illness accompanied by arthralgia and myalgia. The fever . . .

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