A 37-year-old woman was seen in an outpatient clinic for a cyclic fever of two-days duration, headaches, and myalgias. She reported having similar symptoms that lasted for 8 days prior to this episode. There is no relevant past medical history. Recent travel history includes: a week-long backpacking trip in Colorado (3 weeks ago), a 2-week trip to Hawaii (3 months ago), and a 5-day trip to South Africa (5 months ago).
Andrew Norgan, M.D., Ph.D.
Resident, Anatomic/Clinical Pathology Fellowship
Bobbi Pritt, M.D.
Vice Chair of Education, Department of Laboratory Medicine
Consultant, Division of Clinical Microbiology
Associate Professor of Laboratory Medicine and Pathology,
Mayo Clinic College of Medicine