Snapshot A 44-year-old woman presents to the emergency room for high fever, chills, headache, and nose bleed. She had recently traveled to Taiwan for 3 days, where she enjoyed both city-life and tropical tourism. She had been bit by mosquitoes throughout her trip. Severals days after returning to the USA, she developed a high fever, joint and muscle pain, and nose bleeds. On physical exam, there is a confluent erythematous macular rash on her trunk. There is also some gingival bleeding. She is admitted for monitoring and supportive care. Introduction Classification login to view 4 more bullets Epidemiology login to view 4 more bullets Pathogenesis login to view 2 more bullets Associated conditions login to view 1 more bullet Prognosis login to view 3 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 15 more bullets Studies Labs login to view 11 more bullets Making the diagnosis login to view 1 more bullet Differential Yellow fever login to view 2 more bullets Zika virus infection login to view 3 more bullets Chikungunya login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 7 more bullets Complications Shock Death