Case presentation In October 2023, a 22-year-old African male patient of the Toro tribe from Bunyangabu district (Western Uganda) who works as a motorcycle rider presented to Fort Portal Regional Referral Hospital in the Western region of Uganda with a history of non-traumatic multiple joint pain for 2 days. The patient reported the pain to score 7 on a scale of 0–10, with 10 being the worst pain of life. The pain was predominant at the knees, lower back, and elbows.