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A 10-month-old girl was admitted to the hospital because of fever and a rash.
She had apparently been well until one month earlier, when she was examined because of fever and an erythematous rash suggestive of scarlet fever. A throat culture was negative. The rash improved after a 10-day course of amoxicillin. A diagnosis of roseola was made. A few days later, the skin on the arms and legs began to peel. Eleven days before admission, the patient's temperature rose to 40°C, and she became irritable, ate poorly, and had a nonproductive cough, coryza, swollen lips, and lingual erythema. She
Differential Diagnosis
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Dr. Robert N. Husson's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 23-1999: Infantile Pulmonary Tuberculosis
Kashyap A. S., Kashyap S., Pasternack M. S.
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Full Text
N Engl J Med 1999;
341:1857-1858, Dec 9, 1999.
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