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  • Fever is the most commonly reported symptom, being present in 78% to 100% of case patients,2,15- 18 but fever periodicity is often not seen.15,19,20 Patients may experience a wide spectrum of other symptoms including chills, headache, malaise, nausea, vomiting, diarrhea, abdominal pain, myalgias, back pain, weakness, dizziness, confusion, cough, and/or coma.
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