case_images: PMC11760277_01
case_images: Red urticarial coalescing plaques around injection site of (A) upper portion of the left thigh, (B) spreading to her abdomen and (C) face.
case_images: gr1.jpg
case_images: PMC11760277_01_gr1.jpg
case_images: fig1
case_images: Within 12 hours, red urticarial plaques developed around the injection site (Fig 1, A). Over the next 8 hours the rash rapidly expanded to include her face, both legs, arms, abdomen, and her buttocks (Fig 1, B, C).
case_images: Worsening rash presentation in the emergency department depicting red urticarial plaques distributed across the (A) left buttock, (B) lateral side of the left thigh, and (C) injected conjunctiva.
case_images: gr2.jpg
case_images: PMC11760277_01_gr2.jpg
case_images: fig2
case_images: On arrival, she had a low-grade fever (102.0  F) with injected conjunctivae, worsening rash, and no evidence of lymphadenopathy (Fig 2).