A 3-year-old, previously healthy girl presented to the emergency department with fever, fatigue, rash, and eye redness. According to her parents, beginning 1–2 days before, the child grew tired, had a tactile fever, then developed a whole body rash that included her palms. On presentation, she had generalized fatigue, cough, post-tussive vomiting, watery non-bloody diarrhea, and anorexia. There was also a large painful swelling over the child’s right shin that looked like a "bug bite". Inflammatory markers were elevated. While initially stable on broad-spectrum antibiotics, the girl progressed into hypotensive shock and was transferred to the intensive care unit.
CITATION STYLE
Yu, K. O. A., & Burns, J. L. (2017). Fever, a rash, and a … “bug bite”? In The Infectious Disease Diagnosis: A Case Approach (pp. 29–35). Springer International Publishing. https://doi.org/10.1007/978-3-319-64906-1_6
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