Case presentation A previously healthy two-year-old girl was brought to the emergency department with a persistent rash that had progressively worsened over five days. The eruption began under her left armpit and gradually spread symmetrically to her legs, buttocks, face, and trunk. She also developed a mild fever lasting two days, rhinorrhea, and mild pruritus.
No gastrointestinal complaints were reported. Medical history Previously treated at another hospital with dimetindene for three days, without improvement Immunizations up to date, last given 18 months prior Vaccinated against hepatitis B, but not influenza No exposure to animals or recent travel history No family members or close contacts with similar symptoms No history of suspicious food intake, new clothing, or hygiene products Physical examination Axillary temperature: 36°C Blood pressure: 97/62 mmHg Heart rate: 93 bpm…
