FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 2-YEAR-OLD white girl presented to the emergency department with a several-day history of low-grade fevers, nasal congestion, and mild dysphagia, with the more recent development of loss of appetite, lethargy, and "loud breathing." Her medical history was significant for liver transplantation at 6 months of age for biliary atresia. All her immunizations were up to date. Her medications included tacrolimus (FK 506), and she had recently undergone a checkup with the Transplant Service, without problems.
Rosbe KW, Perez-Atayde AR, Roberson DW, Kenna M. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2000;126(9):1153. doi:10.1001/archotol.126.9.1153