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    Mucositis and rash in a 9-year-old boy

    THE CASE

    The anxious parents of a 9-year-old boy bring him to clinic for the evaluation of progressive sores in his mouth for 2 days and a rash that erupted last night. Nine days earlier, he had felt warm and had a cough with wheezing and abdominal pain. At that time, he was taken to an acute care center where he was diagnosed with pneumonia and prescribed amoxicillin. Overnight, his symptoms worsened, and he was admitted to the hospital. The amoxicillin was discontinued and albuterol, azithromycin, and oral steroids were started. He did well and was discharged after 4 days. Shortly afterward, the mother noted a few blisters on his upper lip.

    NEXT: What's the diagnosis?

    Laura M Rosas, BBA, MS1
    Ms Rosas is a first-year medical student at the University of Texas Medical School at Houston.
    Kristina M Little, BA, MS4
    Ms Little is a fourth-year medical student at the University of Texas Medical School.

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