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Lionel W. Young, MD; Dennis W. Ross, MD, PhD

Am J Dis Child. 1980;134(5):511-512.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 7-year-old boy with a two-year history of acute lymphoblastic leukemia was hospitalized for evaluation of fever, malaise, cough, rash, and dyspnea. His leukemia was believed to be in remission while he was on maintenance therapy of prednisone and methotrexate.

The present illness started four days prior to admission with fever, malaise, and erythematous rash initially on the face but later extending to the neck and trunk. There was a questionable history of measles one year previously. On physical examination he was an acutely ill dyspneic child with tachycardia, tachypnea, a temperature of 39 °C, and an erythematous maculopapular rash. No Koplik spots were seen. Diffuse rales over both lungs were heard. A chest roentgenogram (Fig 1) was obtained. Arterial blood gas levels were Po₂, 58 mm Hg, Pco₂, 28 mm Hg, and pH, 7.45.

His condition did not improve over 24 hours while receiving antibiotics and O . . . [Full Text PDF of this Article]

Author Affiliations
From the Hematology Laboratories, North Carolina Memorial Hospital, University of North Carolina, Chapel Hill, NC.

Footnotes
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Young).

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