A 25-year-old male attended our department because of a 2-week history of malaise, severe headache, myalgia, and low-grade to spiking fevers. He had no medical history, was not taking any medications, and reported no sick contacts. At presentation, the patient was medically stable. On review of systems, painful oral and scrotal ulcers, splenomegaly, and diplopia due to right abducens paralysis were found. He had no other atypical findings and cognitively was fully alert and conscious. A pathergy test was positive.
