Case 38-2003

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Abstract
Presentation of CaseA 12-year-old girl was admitted to the hospital because of fever, vomiting, and an abrupt onset of unresponsiveness.She had been well until one week earlier, when a cough, sore throat, and rhinorrhea developed. Laboratory values obtained six days before admission are shown in Table 1 and Table 2. On the evening before admission, her temperature was 39.4°C. At noon on the following day, she began to vomit, and at 6:30 p.m. she was taken to the emergency department of another hospital. The temperature was 39.2°C, the pulse was 121 beats per minute, and the blood pressure was 135/75 mm . . .