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20th ed

These include: (x) Fever and chills Additional rashes Fatigue Swollen lymph nodes Inflammation of the spinal cord and brain (meningitis), resulting in a stiff neck and headaches Shortness of breath and dizziness Bells palsy (muscle tone loss in both sides or one side of the face) Irregular heartbeat or heart palpitations Shooting pains and nerve pain, tingling or numbness in the feet or hands Pain in muscles, joints, tendons and bones, particularly in the major joints These symptoms may disappear without treatment within weeks to months, but the individual may eventually suffer further complications

doi: 10.1016/j.amjsurg.2004.08.060