23rd January 2024

A 29-year-old male presents to the emergency department with a 4-day history of fever

A 29-year-old male presents to the emergency department with a 4-day history of fever, myalgia, abdominal pain, and vomiting. His only medical history is asthma, for which he takes inhalers. He arrived in the UK 2 days ago. Notable findings on examination include a rash. Other than fever, his observations are within the normal parameters. Blood tests show an elevated haematocrit and thrombocytopenia. Reverse transcription-polymerase chain reaction (RT-PCR) reveals dengue infection. Both IgM and IgG enzyme-linked immunosorbent assay (ELISA) are negative.

Which of the following is the most appropriate manifestation representing the patient’s current condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.