Case history A family pediatrician referred a 6-year-old boy to the hospital due to a history of 9-day fever. A diffuse maculopapular rash appeared on day 3 of the illness for which he was treated with cefcapene by his pediatrician.
Clinical examinations noted at the time of admission were : Weight: 24 kg Height: 124 cm Temperature: 38.9°C A diffuse maculopapular rash Erythematous lips, hands, and feet Developed hepatosplenomegaly Pitting edema in feet No history of conjunctival injection and cervical lymphadenopathy Blood examinations WBC count: 12,800/µl. Neutrophils: 88%, lymphocytes: 9%, and monocytes: 3% C-reactive protein: 5.85 mg/dl Hemoglobin: 11.7 g/dl Platelet count: 26.6 × 10 4 /µl Serum albumin: 2.7 g/dl Total bilirubin: 0.7 mg/dl Sodium: 131 mEq/L Potassium: 3.1 mEq/L Aspartate aminotransferase: 100 IU/L Alanine aminotransferase: 87 IU/L Lactate dehydrogenase: 613 IU/L…
