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Lost in a haystack: the importance of physical re-examination
Dheeraj Jain1, Stalin Viswanathan1, Jagatheeswari Shanmugam1
1Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India.
A 19-year-old experienced persistent fever with varicella zoster, later found to have an axillary eschar. Prompt diagnosis and doxycycline treatment led to complete recovery, highlighting thorough examination importance.
Area of Science:
- Infectious Diseases
- Dermatology
- Internal Medicine
Background:
- Varicella zoster (chickenpox) typically resolves without persistent fever.
- Fever workup in this patient for secondary complications was negative.
- An unusual presentation of varicella zoster with persistent fever was observed.
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