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Case Report A 7-year-old boy from the countryside of the state of Maranho, northeastern Brazil, was admitted to the PICU having had fever for 6 days, headache, vomiting, maculopapular rash, severe abdominal pain, conjunctival hyperemia, photophobia, raspberry tongue, hyperemia with lip desquamation, right cervical lymphadenomegaly, and edema

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