“…Initial symptoms, which may include chills, fever, headache (severe and persistent), diarrhea, or a rash [23], myalgia, malaise, prostration, retro-orbital pain, conjunctival suffusion [24], muscle tenderness and lung involvement, appear quite abruptly after an incubation period of about 10 days (range 4 to 19 days). Cases that also have other symptoms [8] such as meningitis, hemorrhage into skin and mucous membranes, jaundice, hepatorenal failure [25] and myocarditis may be misdiagnosed.…”