Student with Fever and Rash


A previously healthy 23-year-old man presented with 3 days of fever, chills, and headache. He was studying in the Midwestern United States, but he had recently traveled to a southern state for the winter holiday, where his family lived. He returned to school 1 week prior to presentation. He complained of a poor appetite and fatigue, reporting that he was sleeping most of the afternoons and evening. He noticed a new erythematous rash on his trunk and face 1 day prior to presentation.

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