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@rvaughnmd Brucellosis is an obvious candidate isnt it??

"Four species infect humans: B. abortus, B. canis, B. melitensis, and B. suis. B. abortus is less virulent than B. melitensis and is primarily a disease of cattle. Brucella suis is of intermediate virulence and chiefly infects pigs. "

@hannu_ikonen
"Listen to your patient; he is telling you the diagnosis"

--Osler

Sounds like they knew he was infected and tried cultures/empiric treatment. They just guessed wrong.

"they tried to isolate whatever bacteria, fungi, or other pathogen was causing the problem, they couldn't find anything. He was subsequently treated for a "culture-negative" infection"

@rvaughnmd

If this was on Step 1, i would expect 70% would get it right. Depressing.

@hannu_ikonen

Yes, having it in the differential at the start would have moved things along.

How long before they elicited the history of the wild pig feasting? Somebody decided to rethink it a bit at some point.

@rvaughnmd "any off the wall travel, activities, dietary considerations i should be aware of?"

@hannu_ikonen

Yes, but would AI have gotten it sooner? 😀

What would the farmer have considered unusual?

@rvaughnmd Nah.. House would've figured it out in forty minutes..leaving four minutes to explain and be admired before grouching off into the sunset.

@rvaughnmd

And in House, the patient would walk his exit in act 5.

Never happens in real life.