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Bebbington M et al. – A three–year–old previously healthy girl presented to an emergency department with erythematous lesions on her nose, both cheeks and left calf associated with fever and irritability. Her guardian reported that the child's demeanour had changed from being pleasant and happy to general irritability approximately three weeks previously. Five days before presentation, she developed clear rhinorrhea and fever, but there was no cough, otalgia or headache. The child was reluctant to walk because of left leg pain. There was no history of travel or animal exposure. Her immunizations were current.


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