case_images: PMC11768316_01
case_images: The patient's clinical course.
case_images: pathogens-14-00064-g001.jpg
case_images: PMC11768316_01_pathogens-14-00064-g001.jpg
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case_images: The patient's clinical course is summarized in Figure 1. Phylogenetic tree analysis of the gene sequence of the 56 kDa type-specific antigen obtained from the eschar revealed that the sequence was the closest to the Kawasaki type (Figure S1). Subsequently, the skin rash, liver dysfunction, respiratory and heart failure resolved, and lung shadows on chest radiography improved (chest radiographs taken on day 9 and 18 are shown in Figure 1).
case_images: Skin findings on the patient's back on day 10 of illness. (a) Erythema maculatum without infiltration showing a partial tendency to fuse on the trunk and limbs, and an eschar on the left posterior region of the neck (black arrow). (b) Close-up photograph of the eschar on the left posterior neck region, showing an ulcer with a black crust, 5 x 6 mm in size, with surrounding erythema.
case_images: pathogens-14-00064-g002.jpg
case_images: PMC11768316_01_pathogens-14-00064-g002.jpg
case_images: pathogens-14-00064-f002
case_images: Physical examination was repeated on day 10, and an eschar with an ulcer, 5 x 6 mm in size, with a black crust and surrounding erythema was observed on her left posterior neck region (Figure 2).