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Make the Diagnosis: Fever. Rash. Tachycardia. Hypotension. We Need a Diagnosis Quickly.

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Presentation

A 16-year-old girl was brought to the ER due to fever, chills, and a diffuse sunburn-like rash that had developed over the past day. On examination, the patient appeared ill with a fever of 104Β°F (40Β°C). She was tachycardic and hypotensive. Widespread erythematous blanching macules and patches were seen. Laboratory examination showed leukocytosis, bandemia, elevated blood urea nitrogen (BUN), and elevated creatinine. The patient underwent septoplasty 2 days prior for a deviated septum, and nasal packing was utilized to manage postoperative bleeding.


to use the Differential Builder in VisualDx to help you.

0% a) Kawasaki disease

0% b) Leptospirosis

0% c) Rocky Mountain spotted fever

36% d) Toxic shock syndrome

Learnings

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36 Votes