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J Infect Public Health. 2014 Sep-Oct;7(5):450-2. doi: 10.1016/j.jiph.2014.04.005. Epub 2014 Jun 20.

Lost in a haystack: the importance of physical re-examination.

Author information

1
Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: dhirajlunawat@yahoo.com.
2
Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: stalinviswanathan@ymail.com.
3
Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: jagatheeswari@gmail.com.

Abstract

We report an unusual case of varicella zoster in a 19-year-old, who presented with persisting fever even after her lesions began forming scabs. Fever workup for secondary complications was negative. A re-examination revealed an axillary eschar. She recovered completely with doxycycline. This report suggests the importance of keeping in mind, epidemiological data of common diseases in the locality, as well as the significance of a thorough physical examination in patients with fever.

KEYWORDS:

Rickettsial rash; Scrub typhus co-infection; Varicella zoster

PMID:
24954067
DOI:
10.1016/j.jiph.2014.04.005
[Indexed for MEDLINE]
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