This is a case of a 78 year old Caucasian gentleman who presented to the hospital in the early summer with complaints of high fevers and progressive fatigue. The patient lives near Philadelphia and enjoys doing yard work. He reported finding a tick attached to the skin near his groin approximately 3 weeks prior to admission. The tick was removed; however the patient was unsure of the duration of the tick attachment. He also denied developing any significant rash in that area. He had no recent sick contacts and no recent history of travel. He began developing fever spikes up to 39.2 C (102.5 F) associated with chills and sweats. Patient complained of progressive fatigue over the ensuing few days which become so severe he did not even have the energy to walk across the room. He also had generalized muscle aches and a decreased appetite.