8 year old male with cough, fever (103F), muscle aches, sore | Figure 1

Case Summary

8 year old male with cough, fever (103F), muscle aches, sore throat, and rash over 9-10 days. Rash started on trunk and limbs around the same time. Fully vaccinated. Stabbed for strep and started on #Amoxicillin (strep later negative) at onset. Been to South Dakota but not to major tourist areas. Varicella and Measles IgA/IgM negative. Flu negative. Respiratory viral panel positive for #Mycoplasm.

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19yo college student. Diffuse rash x 4 days. Negative strep. Viral exanthem/mono versus lamictal rash (started lamictal x 1 month), or the beginning of #Stevens-Johnson syndrome?](https://app.figure1.com/case-detail/131d3149-98f3-4ce1-ba40-9e2741c6b9eb)

Lookey lookey! More roseola (AKA sixth disease)! 9mo healthy boy, 3 days of fever to 103 with no specific symptoms and then the fever broke followed by this rapidly spreading rash. This baby is a little itchy. It's not strep or measles because the fever went away before the rash. It's not chicken pox because it is morbilloform, not vesicular. HHV 6 and 7 are the likely viruses. Roseola!](https://app.figure1.com/case-detail/1ab370a5-a313-424d-b449-ecce02a6b47c)

8 yo female with rash after being diagnosed with strep, siblings with same rash but no strep](https://app.figure1.com/case-detail/743c4641-8d4f-4724-8588-94669285a2ca)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)