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Fever, Rash, and Cough in a 7-Year-Old Boy.
Luu, Lydia A; Makin, Thomas A; Borish, Larry; Snavely, Emily A; Meyer, Jessica S; Zlotoff, Barrett J; Zeichner, Steven L.
  • Luu LA; Departments of Dermatology.
  • Makin TA; Allergy and Immunology.
  • Borish L; Allergy and Immunology.
  • Snavely EA; Pathology.
  • Meyer JS; Pediatrics.
  • Zlotoff BJ; Departments of Dermatology.
  • Zeichner SL; Pediatrics and Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, Virginia.
Pediatrics ; 151(2)2023 02 01.
Article in English | MEDLINE | ID: covidwho-2324609
ABSTRACT
A 7-year-old boy presented to the emergency department with fever, cough, congestion, abdominal pain, myalgias, and morbilliform rash. Several aspects of the patient's history, including recent travel, living on a farm, exposure to sick contacts, and new medications, resulted in a wide differential diagnosis. Initial laboratory testing revealed leukocytosis with neutrophilia and elevated atypical lymphocytes, but did not reveal any infectious causes of illness. He was discharged from the hospital, but then represented to the emergency department a day later with worsening rash, continued fever, abdominal pain, and poor intake. He was then admitted. A more comprehensive laboratory evaluation was initiated. During this hospital course, the patient's physical examination changed when he developed head and neck edema, and certain laboratory trends became clearer. With the assistance of several specialists, the team was able to reach a more definitive diagnosis and initiate treatment to appropriately manage his condition.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cough / Exanthema Type of study: Case report / Diagnostic study / Experimental Studies / Prognostic study Limits: Child / Humans / Male Language: English Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cough / Exanthema Type of study: Case report / Diagnostic study / Experimental Studies / Prognostic study Limits: Child / Humans / Male Language: English Year: 2023 Document Type: Article