2 Case History:
A 37-year-old freelancer from a middle socio-economic background resides in a household with his spouse and three children. They have had no recent travel history in the past month. The individual arrived at Kassala Teaching Hospital in eastern Sudan in August 2023 with a chief complaint of a fever persisting for nine days, with the highest recorded temperature at 39.4°C. Additionally, the patient experienced generalized body aches over the last two days and had vomited fresh blood at home on the morning of hospital admission.