Lost in a haystack: The importance of physical re-examination

Summary: We report an unusual case of varicella zoster in a 19-year-old, who presented with persisting fever even after her lesions began forming scabs. Fever workup for secondary complications was negative. A re-examination revealed an axillary eschar. She recovered completely with doxycycline. Thi...

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Main Authors: Dheeraj Jain (Author), Stalin Viswanathan (Author), Jagatheeswari Shanmugam (Author)
Format: Book
Published: Elsevier, 2014-09-01T00:00:00Z.
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100 1 0 |a Dheeraj Jain  |e author 
700 1 0 |a Stalin Viswanathan  |e author 
700 1 0 |a Jagatheeswari Shanmugam  |e author 
245 0 0 |a Lost in a haystack: The importance of physical re-examination 
260 |b Elsevier,   |c 2014-09-01T00:00:00Z. 
500 |a 1876-0341 
500 |a 10.1016/j.jiph.2014.04.005 
520 |a Summary: We report an unusual case of varicella zoster in a 19-year-old, who presented with persisting fever even after her lesions began forming scabs. Fever workup for secondary complications was negative. A re-examination revealed an axillary eschar. She recovered completely with doxycycline. This report suggests the importance of keeping in mind, epidemiological data of common diseases in the locality, as well as the significance of a thorough physical examination in patients with fever. Keywords: Scrub typhus co-infection, Rickettsial rash, Varicella zoster 
546 |a EN 
690 |a Infectious and parasitic diseases 
690 |a RC109-216 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Journal of Infection and Public Health, Vol 7, Iss 5, Pp 450-452 (2014) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1876034114000707 
787 0 |n https://doaj.org/toc/1876-0341 
856 4 1 |u https://doaj.org/article/1f46ee4cd01b49c7b00abefa8e26cc30  |z Connect to this object online.