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.
