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Case 15 

Case 15
Chapter:
Case 15
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0015
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date: 22 August 2019

A one-year-old child presented to the paediatric on-call team with a 5-week history of high spiking temperatures, weight loss, marked irritability, a widespread rash, and a limp. On examination, his heart rate was 140 beats/min and his temperature was 38.2°C. Chest examination was otherwise normal. He had hepatomegaly and symmetrical bilateral wrist swelling.

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