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A mother brings her 13-year-old daughter to your urgent care center with a complaint of fever, chills, dry cough, and myalgia for 3 days. On exam, the patient is febrile (101°F). In addition, there is conjunctival injection and blanching erythematous patches on the face and neck. The mother mentions that the family returned from a trip to Brazil 10 days prior. While traveling they ate local food, drank local (unfiltered) water, sustained a few mosquito bites, and went whitewater rafting.             Â
View the image in this context and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
A 13-Year-Old Girl with Fever, Chills, Dry Cough, and Myalgia
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