Not all febrile critical illness with rash is infective: Dru
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Case Report :


A 32-year-old woman presented with fever, skin rash, dyspnea, jaundice, and decreased urine output in the emergency department on July 5, 2015.

The patient had been well until 10 days before admission when low-grade fever developed. Two days after the onset of fever, she went to a local practitioner and was prescribed oral ciprofloxacin. Next day, she became afebrile but she developed maculopapular skin rash with itching, which started on the bilateral upper limbs and progressed to involve whole body in the next 24–48 h [Figure 1]. Simultaneously, she also noticed swelling over face and hands. Three days after the onset of rash, fever reappeared. This time, it was high grade and associated with chills. The same day, she developed shortness of breath which progressed to dyspnea at rest within 2 days with dry cough and orthopnea. Three days before admission, the patient developed jaundice with high-colored urine without cholestatic symptoms, and her urine output reduced to 500 ml/day......

http://www.ijccm.org/article.asp?issn=0972-5229;year=2017;volume=21;issue=4;spage=229;epage=231;aulast=Pannu
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