 Upon obtaining information about their recent actions, locations, and barracks, most patients said that they recently swam in lakes close to the Fort Bragg military complex.In about 95% of the patients presented with Splenomegaly in the early stages, and then on the fourth day a pretibial rash presented in most of the patients.While the patients were recovering, the doctors taking care of the soldier were stumped by the pathogen after the differential diagnosis.