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Figure 1. Four days after the onset of symptoms of varicella in a 16-month-old girl, violaceous lesions developed on her neck and trunk that became necrotic and had an erythematous base. The lesions gradually became larger, measuring up to 2 cm in diameter (Panel A). On admission, the child had a temperature of 38.8°C and a white-cell count of 15,000 per cubic millimeter. She appeared lethargic and acutely ill. She was treated initially with ampicillin and sulbactam. Two days later, swelling of the face, periorbital area, and neck developed (Panel B). Culture of a specimen obtained from the base . . . [Full Text of this Article] |