A 19-year-old, male working as a farmer presented with high-grade fever > 100° F, myalgia, and anemia for 2 months duration. Treated at local hospitals for 6-8 weeks and was referred to us for further management. 15 days later he started developing joint pains involving large and small joints. He did not suffer from any arthritis in the past. No history of fever, sore throat, allergic rashes, bites, or stings in the recent past. He did not have any history of weight loss, cough, hemoptysis, abdomen pain, breathlessness, chest pain, sweating, back pain, urethral discharge, burning urination, or palpitations. No similar complaints in family or contacts. No history of tuberculosis, autoimmune diseases, or recent vaccination.