Abstract
An 18-month-old girl with an unremarkable birth history presented to our pediatric emergency department with a fever and rash that began the previous day. The patient's mother stated that the patient also had decreased oral intake, reduced urine output, and 2 episodes of nonbloody nonbilious emesis. Her vital signs included a pulse rate of 185 beats/min, respiratory rate of 43 breaths/min, blood pressure of 88/42 mmHg, oxygen saturation of 95% on room air, and a rectal temperature of 38.7°C (101.6°F).
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