Case 42-1977

Presentation of CaseA 34-year-old man was brought to the hospital after cardiopulmonary arrest.The patient had enjoyed good health, without known hypersensitivity to medications. He was believed to have received penicillin for pneumonia while in the armed forces. One week before admission malaise and fever developed, accompanied by a sore throat. On the day before entry the muscles of his right arm and shoulder began to ache. At 11 o'clock that evening he was seen at another hospital because of an extremely painful sore throat. Examination disclosed pharyngeal inflammation but no local lymphadenopathy. A throat culture was obtained, and . . .