title: Lost in a haystack: the importance of physical re-examination.
abstract: We report an unusual case of varicella zoster in a 19-year-old, who presented with persisting fever even after her lesions began forming scabs. Fever workup for secondary complications was negative. A re-examination revealed an axillary eschar. She recovered completely with doxycycline. This report suggests the importance of keeping in mind, epidemiological data of common diseases in the locality, as well as the significance of a thorough physical examination in patients with fever.
authors: Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: dhirajlunawat@yahoo.com.
authors: Dheeraj
authors: D
authors: Jain
authors: Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: stalinviswanathan@ymail.com.
authors: Stalin
authors: S
authors: Viswanathan
authors: Department of General Medicine, Indira Gandhi Medical College & RI, Pondicherry 605009, India. Electronic address: jagatheeswari@gmail.com.
authors: Jagatheeswari
authors: J
authors: Shanmugam
mesh_terms: D001365:Axilla / Q000473:pathology*; D002644:Chickenpox / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D010808:Physical Examination; D012612:Scrub Typhus / Q000175:diagnosis* / Q000473:pathology*; D055815:Young Adult
keywords: Rickettsial rash; Scrub typhus co-infection; Varicella zoster