An 18-year-old man was admitted to a hospital because of fever and pain in the lower abdomen, groin, and scrotum. Present illness : Four days before admission, fatigue, subjective fever, and chills developed. The next day, he began having headaches, nonbilious unbloody emesis, diarrhea, decreased appetite, low back pain, and dysuria. One day prior admission, he was able to drink one glass of water without vomiting. When feverish, he reported dry mouth, eye pain, and light headedness.
Past medical history History of exercise-induced asthma and had been hospitalized during early childhood for diarrhea. Negative interferon-gamma for tuberculosis. He was sexually active with one female and consistent condom user. Negative for HIV, syphilis, gonorrhea, and chlamydia. He had a pet rabbit but no contact with other animals, no history of recent tick or mosquito bites and no contact with sick…
