My wife is a 39yo caucasian female, chief complaint is painful lymph nodes in her groin and neck areas, in addition to fatigue. Significant medical history: , Genital herpes, bariatric surgery - Jan 2012, COPD/Chronic bronchitis, and osteoarthritis. No known recent infections. We do have a camper that is in an area endemic with ticks. Her doctor has prescribed acyclovir, but no change in symptoms (no current outbreak either).