- Swinging pyrexia (up to 40–41°C), rigors and sweating.
- Arthralgia/arthritis (usually monoauricular) involving larger joints such as the hip, knee, shoulder and ankle.
- Low back pain.
- Headache insomnia.
- Small firm splenomegaly and hepatomegaly.
- Leucopenia with relative lymphocytosis.
Pattern of Disease
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