... to a diagnostic delay. We report hereinone case. Case presentation A 31-year-old female native of Africa was hospitalizedwith fever, weakness, nausea, headache, facial edema, andrash, for ... patient management, reviewing the literature and helped to draft the manu-script.OL, VR, YH, DC: helped in patient management andmade final diagnosis.All authors read and approved the final ... She also had injec-tion of the sclera, and edema of the eyelids. Buccal andgenital mucous membranes were unaffected. Palpationrevealed enlarged tender lymph nodes at all sites, but noaccompanying...