Case Report: Aches, then itches

A patient presents with acute onset severe pruritus

Victoria is a 39-year-old IT professional from Chicago, living and working in Sydney for the past six years.

abdominal exam

She presents with a two-week history of feeling generally unwell, which began during a trip to Brisbane for the weekend with friends.

She experienced moderate intermittent myalgia for six days, but nothing focal. She suspected she had mild fever a couple of nights while away, with alternating sensations of being hot and cold. She thought that her urine looked a little more ‘orange’ than usual.

She was otherwise in good health,