Take the Case Challenge: A Woman with Headache, Fever, and Rash

Posted by • March 26th, 2015

A 28-year-old woman presented with headache, fever, and a rash, plus nausea and one episode of nonbloody, nonbilious emesis. The skin lesions were small, red, flat, nonpruritic, and nonpainful. What is the most likely diagnosis? What diagnostic tests are indicated?

Read the case description. Then vote and comment about what the diagnosis may be and what diagnostic tests will prove useful. Find the answers in the full text of the case to be published on April 9.  Follow the conversation on Facebook and Twitter with #NEJMCases.

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