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Case 2

2.5 year old male

fever for 24 hours, poor feeding, less active, nausea ?vomit

parents noticed spots on face

tired, febrile, vitals stable

mild rhinorrhea

petechiae under eyes, on face, on trunk, and on buttock

WBC 9.0, HGB 137, PLT 155, N41%,S10%,L40%

Coags:Normal

CXR: Normal, Sinus Views Positive

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