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Previous Volume 339:1619-1626 November 26, 1998 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

An 11-year-old girl was admitted to the hospital because of fever, hypotension, and azotemia.

The patient had been in excellent health until four days earlier, when fever, headache, sore throat, stiffness of the neck, abdominal pain, and an abdominal rash developed. The results of laboratory tests performed three days before admission and subsequently are presented in Table 1 and Table 2. A rapid test for streptococcal antigens was negative. Two days before admission, amoxicillin and diphenhydramine were administered. A throat culture yielded non–group A, -hemolytic streptococci. The symptoms persisted, the urinary output was low, and menses began. One day . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jonathan Rhodes's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Kanegaye, J. T., Wilder, M. S., Molkara, D., Frazer, J. R., Pancheri, J., Tremoulet, A. H., Watson, V. E., Best, B. M., Burns, J. C. (2009). Recognition of a Kawasaki Disease Shock Syndrome. Pediatrics 123: e783-e789 [Abstract] [Full Text]