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A 19-month-old boy was admitted to the hospital because of a febrile illness and refusal to walk.
The child's immunizations were up to date. His mother was Portuguese, and his father was Brazilian. Two months before admission, during a six-week visit to Brazil, the boy had been treated with penicillin for suspected streptococcal pharyngitis; no culture was performed. Examination of the urine showed minimal protein. Hematologic laboratory tests were performed (Table 1). Forty-eight hours after treatment with penicillin, a rash appeared; another antibiotic was substituted, and the illness resolved. Three weeks before admission, the child was taken to
Differential Diagnosis
Travel-Related Infections
Noninfectious Diseases
Infectious Diseases Unrelated to Travel
Conclusions
Clinical Diagnosis
Dr. William Jerry Durbin's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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