A well-diggers nightmare

Mr. M, a 42-year-old presenting with history of fever for 2 months followed by swelling and pain over the Left elbow, further progressing to involve both knee joints, Recently detected to have Diabetes Mellitus Occupational history – Well digger by profession

What could possibly be the cause for his ailment?



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Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India

© 2019 by E-Medicine team.

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