Dengue rash: white islands in a sea of red

A 36-year-old Japanese woman presented to our emergency department with a 2-day history of fever, headache, eye pain, arthralgia and poor appetite after returning from Thailand. She had been sightseeing in Phuket, as island in Thailand. At initial presentation, her body temperature was 38.9°C. Laboratory examination results revealed a slightly elevated C reactive protein level of 0.57 mg/dL (range: 0–10 mg/dL), normal white blood cell count of 4.16 ×10ˆ9/L and normal platelet count of 233 ×10ˆ9/L. The result of the rapid diagnostic kit for the dengue virus (DENV) was positive for DENV non-structural protein-1 antigen. The result …