Continuous medical education activities; Case No. 1

A three years old male was presented, fatigued with history of fever for 4 days. He became acutely ill and vomited during lunch. Over the next 4 days he developed fever as high as 40oC that was controlled by Acetaminophen. He developed cough, rhinorrhea, and conjunctivitis. His parents reported that he was very sleepy. Over the past 2 days, he had begun to rub his eyes and complained a severe pain in it His parents noted that his eyes were puffy and sensitive to light. He had had no rashes. The patient's lips were dried and cracked and he has a greatly reduced urinary output (To be continued...).