Myalgias and Joint Pain in a Traveler to India


A 54-year-old Indian female with no significant past medical history presented with fever, headache, myalgias, and joint pain which began while she was vacationing in India. Just 3 days before, she had returned from a 2-week trip to Delhi to visit family. One week into her stay in Delhi, she developed fevers up to 101 °F, headache, myalgias, and severe joint pain. She also had swelling and erythema of the wrists, knees, ankles, and feet. Two days later, she developed a pruritic rash that started on the legs and later spread to her trunk and arms. The patient’s father and brother-in-law reported similar symptoms.

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