Case 37-1995

Presentation of Case A six-year-old boy was admitted in early August because of a rash, meningismus, and diplegia. The boy had been well until three days earlier, when fatigue developed and he was chilled more easily than usual while swimming. The next day he had nausea and vomiting, and large, evanescent erythematous patches appeared on his face, arms, and legs, followed by pains in the neck and shoulder and tingling of the legs. The next morning he was unable to walk because of weakness in his legs. Examination at another hospital showed that the temperature was 38.8°C and the blood . . .