Brief Answer:
Rule out medication induced myositis and infection

Detailed Answer:
Hello,
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I have gone through your question in detail and here is my advice.

Muscle pain and muscle weakness, especially in the absence of fever, is concerning for possible anti-malaria medication (like chloroquine, hydroxychloroquine) induced myositis. Myositis is the inflammation of muscles.

It is also important to rule out vector-borne infection like dengue fever, leptospirosis has given your recent history of travel to XXXXXXX

Blood investigations including complete blood count, complete metabolic profile, ESR, liver function test, peripheral smear, lactate dehydrogenase level, serum Creatinine Kinase level are recommended at this point. Further investigations including bacterial/virological serology may also be needed depending on the initial results.

Please be advised to follow up with your primary care provider for detailed evaluation and management.
Meanwhile, you can take Tylenol (available over the counter) for pain relief.

Hope I was able to help you
Please let me know if you need further assistance.
Regards,
Dr.Lekshmi

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