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A 44-year-old woman presented to the emergency department with a fever of 101.7, a non-pruritic rash, sore throat and cough. She reported the fever and cough starting 5 days prior to presentation with a rash starting on her face 2 days after the fever onset (figure 1). The rash spread to her chest and back the following day (figure 2), and minimally to the extremities on the day of presentation. She had travelled to Japan returning 11 days prior to emergency department presentation. On oropharyngeal examination, there were no Koplik’s spots present. Laboratory findings were significant for a negative rapid beta-strep test, mild transaminitis (aspartate aminotransferase of 90 U/L and alanine aminotransferase of 255 U/L), elevated …
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