Fever, rash, and crusting ulcers.

摘要

In August, 2008, a 14-year-old boy presented to our outpatient department complaining of fever and swellings in the neck for the past 2 months, rash for 1- 5 months, and nasal regurgitation for 15 days. The high-grade intermittent fever appeared daily without diurnal variation; many, small, non-tender glandular swellings appeared bilaterally in the neck when the fever started. Non-pruritic red-brown macules appeared on his skin, which later turned into papules and blisters, and then into small ulcers that crusted over (figure A). The process took 10-14 days. Skin lesions appeared in crops, with a new crop erupting every 8-10 days. At presentation, there were lesions in all stages of development. There was no relevant medical history. The young boy had been prescribed antibiotics and treatment for tuberculosis by local low-resource facilities but had no response.