A 6-month-old vaccinated, previously healthy boy presented to the ED with fever, rash, and irritability. He had fever for four days (Tmax 102°F). Three days prior, he also developed a red non-pruritic rash and oral lesions. The rash started on his face and progressed to the rest of his body, sparing his palms and soles. His eyes have been red and irritated. He had decreased oral intake and poor urine output. His mother had been giving acetaminophen and ibuprofen. There had been no known sick or COVID-19 contacts…
Read MoreThe patient is a 5-year-old female with a past medical history significant only for torticollis who presented to the emergency department with fever, emesis, diarrhea, fatigue, and rash. The patient began having fevers to 102 degrees Fahrenheit five days prior to arrival. The patient’s mother reported that four days ago, the patient began having diarrhea and non-bloody, non-bilious emesis. Two days ago, she began having decreased PO intake, continued fevers and emesis, anuria, and bilateral neck pain. The morning of arrival, the patient’s mother noted a rash on the patient’s back and bilateral conjunctival injection. She brought the patient to her pediatrician’s office, who sent her to the ED for further evaluation and management…
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