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.