A government official based in the South of Spain develops a long term fever that is increased in the evenings.


Question Number 0558
Question:
A government official based in the South of Spain develops a long term fever that is increased in the evenings. He also complains of a chronic headache and generalised arthralgia. His liver function tests are slightly deranged. On examination he is noted to have cervical lymphadenopathy and his spleen is enlarged. He admits to an affection for local goat's milk. The most likely diagnosis is
a) Lyme disease
b) brucellosis
c) infective endocarditis
d) listeriosis
e) psittacosis


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