An unvaccinated teenage male with no known past medical history presented to the emergency department (ED) with complaints of headache, back and neck pain, and fever with chills for 2 days before presentation. In addition, he reported constipation (bowel movement only every 3 days), rhinorrhea, and congestion. He denied abdominal pain, shortness of breath, or photophobia. Social history revealed that he had traveled alone from Central America to the United States and had spent ∼7 days in the Sonoran Desert of Mexico and southern Arizona with only crackers, apples, and small amounts of water (source unknown). The patient had been in United States Border Patrol custody for ∼2 weeks before presenting to the ED.
Click here to read the article, published in Journal of Clinical Microbiology.