This patient is a 23-year-old man with a history of 1. "IMoDo"philia (out of controled) 2. type 2 DM without controled for 5 years 3.COPD

4. GERD. 5. shame of Taiwan. This time, he suffered from fever and chills for 2 day and headache for 1 days

He had been well before this episode that he felt dizzness and sleepy so he went to bed earily. When he got up, he felt cold and he noted

that the aircondition had turned from 30'C to 10'C by his roomate.