37 year-old male presents to the ED with four days of fevers, chills, abdominal pain, myalgias. Denies nausea, vomiting, and diarrhea. No known sick contacts. Works as a landscaper. Sexually active with one partner who is asymptomatic. Vitals on arrival: Tempt 100.9F, RR 16, BPM 115, BP 120/74, Sp02 100% RA.