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An 11-month-old previously healthy child presented to the ED with fever followed by haemorrhagic rashes which started over face and subsequently spread to whole body over a period of 2 days (figure 1). Two of her siblings recovered from varicella in the last 15 days uneventfully. The child was drowsy with temperature 102°F, blood pressure 88/50 mm Hg, heart rate 116/min, respiratory rate 24/min and oxygen saturation 100% on room air. Other systemic examination was normal.
Contributors BC and PC were major contributors in writing the manuscript. BC and PC were involved in the clinical management of the patient and obtained consent. AB revised the manuscript for intellectual content of the manuscript, the figures. BC, PC and AB gave final approval of the submitted version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.