Case Presentation
A previously healthy 35-year-old man with history of appendectomy, bilateral inguinal hernia repair, lumbar laminectomy, chronic low back pain, opiod dependence, and recurrent tonsillitis presented with 2-day history of headache, high fever and chills, painful deglutition, inability to swallow solids, and lower abdominal pain in May this year. He denied rash, nasal discharge, cough, muscle aches, joint pains, nausea, vomiting, diarrhea, and urinary symptoms.