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Question category: Tropical medicine

A 19 year old student returns from a back packing trip around Asia. He is brought to A and E very unwell. He has a fever of 41 degrees. This came on suddenly along with severe headaches, localised retroorbitally and severe myalgia and backache. A macular confluent rash appeared a few days into his admission, over his face and flexor surfaces. His conjuctivae are red. He is also complaining of abdominal pain and bleeding gums. What is the most likely diagnosis?

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