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Case 1

5 year old male referred by pediatrician

fever x 48 hours

petechiae on trunk for 12 hours

cough,headache,abdo pain,difficulty swallowing

sick contacts at school

febrile,tired, non-toxic, vitals stable

petechiae on face, neck,chest abdomen and 1 thigh

red throat with some exudate, neck supple

WBC 17.3, HGB 126, PLT 212  49%N,28%L,5%ATL

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