Published: 11 June 2019
Author(s): Josephine Anne Lucero, Danielle Benedict Sacdalan
Issue: June 2019
Section: Internal Medicine Flashcard

A 32-year-old male from the Philippines presented with a three-day history of high-grade fever (Tmax 39.8C) refractory to acetaminophen and NSAIDs. It was accompanied by headache, anorexia, and myalgia. Initial blood count showed thrombocytopenia (89 × 109/L) prompting admission. History revealed that a week prior, the patient went to an outdoor market to buy plants. He denied a similar illness in the past. Suspecting the diagnosis, additional labs were requested including viral serology and liver transaminases.


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