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A case of decreased joint function, fever and rash

A 7 year old girl presented to her local hospital for the second time in 3 months with arthralgia, a migratory skin rash and fever for 5 days. She was admitted and within 2 days developed a depressed level of consciousness, epistaxis and seizures.

Acknowledgement
This case study was kindly provided by Dr Monika Esser MMed Paed, Head of Division of Immunology, N.H.L.S Coastal Branch, Tygerberg Hospital.

Course Content

History
Differential Diagnosis
Examination
Investigations
Discussion
Treatment
Final Outcome
Evaluation – Questions & answers