ABSTRACT
A 16-year-old woman presented to hospital complaining of fevers, shortness of breath and a widespread rash. She had been feeling unwell for 4 days with coryzal symptoms and had developed the rash 48 hours before presenting to hospital. She had no past medical history and took no regular medications. She attended secondary school and lived with her parents and two younger siblings. She had received all standard childhood immunisations. She denied alcohol intake and had never smoked or used recreational drugs. She had a boyfriend who was her only sexual partner. She denied recent foreign travel.
