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email article A 36-year-old man presents to an emergency department (ED) in New York City. He reports feeling poorly for the past 3 weeks, with fatigue and muscle aches and pain throughout his body. He says he has no known premorbid illnesses, nor has he been in contact with anyone who is ill. He drinks alcohol occasionally, he says, but is not a smoker and does not use recreational drugs. He tells clinicians that his symptoms began during a camping and hiking trip in upstate New York, an...
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