46-Year-Old Woman With Fever, Myalgia, and Headache

Abstract

A 46-year-old Hispanic woman presented to a Minnesota emergency department in late fall 2020 with 5 days of fever (38.3°C), chills, malaise, headache without photophobia, epistaxis with loss of smell, gingival bleeding when brushing her teeth, nonproductive cough, diarrhea, and diffuse myalgia when driving home from a trip just across the Texas-Mexico border. She never had similar symptoms before, but has traveled to Mexico on multiple occasions. Her exposures in Mexico included domesticated dogs, mosquito bites, local food, and sexual intercourse while in a monogamous relationship.