A 13-year-old boy who had undergone allogenic bone marrow transplantation for treatment of acute lymphocytic leukemia presented with bilateral periorbital rash and swelling. A CT scan showed bilateral symmetric periorbital swelling, subconjunctival fluid collections, and lacrimal gland enlargement. The patient was initially treated for presumed cellulitis. However, persistently negative regiona...

CASE HISTORY A previously healthy 21-year-old man was admitted to the emergency department a short time after being trapped while working under his car when the jack gave away. The patient remained under the vehicle, which was compressing his anterior chest, until the fellow workers were able to remove the victim after approximately 6 min. The patient arrived at hospital with stable vital signs...

A 58-year-old man was admitted after a generalized tonic-clonic seizure. The neurological examination was normal, except for bilateral periorbital, enoral and superior thoracic petechiae, which had only occurred after the seizure. The blood pressure, CT scan of the brain and routine laboratory were unremarkable. Seizure-related petechial rash is a rare finding that might be helpful for the diag...

Case: A 12-year-old boy presented to the emergency department with progressive dyspnea for 1 week and bilateral periorbital edema for 1 day. On review of systems, he reported an upper respiratory tract infection 1 week before the onset of dyspnea. A review of vital signs showed a temperature of 99.8°F (37.7°C), heart rate of 99 beats/min, blood pressure of 167/117 mm Hg, respiratory rate of 22 ...

Periorbital vasculitis is a previously unreported complication of Kawasaki syndrome (KS). We describe an infant with severe KS refractory to initial management with salicylate and intravenous immunoglobulin (IVIG). Retreatment with IVIG and high-dose pulsed steroids was required for persistent fever and inflammatory manifestations. Despite aggressive medical therapy, a large left coronary arter...