Slide 27 of 50
Notes:
3. Symptoms and signs. a. Abrupt onset of fever. b. Severe headache. c. Photophobia. d. Myalgias. e. Malaise. f. Severe "flu-like" symptoms. g. A petechial rash on the ankles and wrists appears on days three to five as the illness worsens. h. Prostration. i. Abdominal pain. j. Adult respiratory distress syndrome. k. Rhabdomyolysis. 1. Seizures or coma in later stages.