19-year-old healthy male is evaluated in January in the emergency department after 3-day history of fever, dry cough, and newly developed nonpruritic rash.
Exam: He is febrile and tachycardic. Crackles appreciated on left side of chest and a macular, targetoid rash was present on his hands and feet including the palms and soles.
Chest radiograph showed infiltrates in the left lower lung field.
Over the next 48 hours mucositis developed involving the lips (pictured), buccal mucosa, conjunctivae and urethral meatus.