1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P2_F7.jpg"}},{"insert":"\n\n"},{"insert":"On examination, Austin is fussy, irritable, and difficult to console. His temperature is 104 \u00b0F (40 \u00b0C), with a pulse rate of 180 bpm, a blood pressure of 100\/60 mmHg, and respiratory rate of 28\/min. Pulse oximetry reveals an arterial oxygen saturation (SpO2) of 97%.\n\nYou note the presence of bilateral exudative conjunctivitis and copious dried rhinorrhea. His oral mucosa is dry and lips are cracked. No oral lesions are present. You also notice a diffuse, blanching, erythematous, papular rash with coalescing lesions over his scalp, face and trunk.\n\nExamination of the respiratory, cardiovascular and neurological systems reveals no other abnormalities. You order an urgent complete blood count, which shows the following results:\n\nLeukocyte count: 6,200\/mm3 (5,500-15,500)\n Segmented neutrophils: 69%\n Lymphocytes: 19% \nHemoglobin: 12.5 g\/dL (11.5-15.0)\nPlatelet count: 218,000\/mm3 (150,000-450,000)\n"}]}