case_images: PMC10593156_01
case_images: Targetoid rash on lower abdomen.
case_images: jchim-13-03-055f1.jpg
case_images: PMC10593156_01_jchim-13-03-055f1.jpg
case_images: f1-jchim-13-03-055
case_images: Symptoms started with a sore throat followed by a targetoid rash (Fig. 1) that initially started at the abdomen and slowly involved her back and extremities; the rash was not itchy or blanchable; the patient also had two oral ulcers.
case_images: CT chest with contrast showing bilateral infiltrates and pleural effusions.
case_images: jchim-13-03-055f2.jpg
case_images: PMC10593156_01_jchim-13-03-055f2.jpg
case_images: f2-jchim-13-03-055
case_images: However, soon after, she developed respiratory distress requiring up to 4L of supplemental oxygen to maintain her saturation >92%; EKG was negative for any acute changes, and CT pulmonary angiogram ruled out pulmonary embolism but showed bilateral interstitial infiltrates and pleural effusions (Fig. 2).
case_images: Four chamber view in systole.
case_images: jchim-13-03-055f3.jpg
case_images: PMC10593156_01_jchim-13-03-055f3.jpg
case_images: f3-jchim-13-03-055