Case Presentation:
A 27-year-old male driver presented to the emergency department of College of Medical Sciences Teaching Hospital with the chief complaint of fever and fatigue for 7 days, which was accompanied by 3 episodes of vomiting over 4 days, along with pain over the epigastrium. The patient was asymptomatic until the onset of the fever, which was intermittent and associated with chills and rigors. According to the patient, the fever was higher in the evening around 5 pm and relieved in the morning. The maximum recorded temperature was 103°F.
Upon examination, the patient was alert and conscious. His blood pressure was 110/60 mm Hg, measured on the right hand; respiratory rate - 20 breaths/min; axillary body temperature - 99.8°F; pulse - 107 beats/min; and SpO2 - 96%.