2 Case History
A 35-year-old male from Kassala State presented in September 2024 with
8-day history of fever, chills, rigors, vomiting, and severe
musculoskeletal pain. Upon examination, his temperature was 39.4°C, with
a heart rate of 117 beats per minute (bpm), and hypotension evidenced by
a blood pressure reading of 94/55 mmHg. The tourniquet test yielded a
positive result, indicating a potential bleeding disorder.