A 39-year-old housewife, a mother of two children, presented with a history of high intermittent fever (101-103 °F), chills and rigors for eight days. Apart from mild intermittent asthma, she had no other co-morbidities. The intensity and frequency of fever had increased despite treatment with oral co-amoxyclav by a general practitioner. She had associated severe frontal headache, nausea and vomiting. However, the most striking feature was that she developed progressively severe pain in almost all large and small joints of the body with backache and neck pain limiting her movements. As a result, at the time of presentation she was bedbound. In addition, she had noted yellowish discoloration of the sclerae and dark urine around the third day of fever. She did not have any similar clinical manifestations in the past or any clinical signs suggestive of a connective tissue disease. She had an intrauterine contraceptive device for one year. Although menstrual periods were regular, she complained of intermittent offensive vaginal discharge for the past few months. She denied history of recent pregnancy or gynecological interventions.