She returns 9 hours later shivering and vomiting in triage.
She now has a temperature of 40.1C

She still has eye pain which is worse on opening and closing eye

O/E
TEMP 40.1
PULSE 158
RR 22
SATS 99%
Normal eye movements lid swelling- no erythema

She is admitted to the CCDU and the following blood results are obtained.
HB 12.6, WCC 18.0 ,PL 400