Bartonella quintana (or trench fever, or five-day fever), is a disease carried by body lice that causes, weirdly, hyperaesthesia of the shins — that is, generally heightened shin sensation, though mostly just heightened pain. However, this is unlikely to cause any diagnostic confusion with shin splints, since trench fever also causes a nasty fever and many other unpleasant symptoms, like fierce headaches and eyeball pain. Nevertheless, perfect sidebar fodder for my shin pain tutorial.
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