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A previously healthy 8-year-old boy has a 3-week history of low-grade fever of unknown source, fatigue, weight loss, myalgia, and headaches. On repeated examinations during this time, he is found to have developed a heart murmur, petechiae, and mild splenomegaly. Which of the following is the most likely diagnosis?
a. Rheumatic fever
b. Kawasaki disease
c. Scarlet fever
d. Endocarditis
e. Tuberculosis
 

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very good question , i am confused about endocarditits and rheumatic fever cuz of the age. but i will agree with everyone else here that its endocarditis!
 
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