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A 14-year-old girl presented with transient fever and painful rash on the distal extremities. Two months later, she had a syncopal episode after swimming in a pool. She also had a transient left hemiparesis with expressive aphasia. The findings of a head CT scan were negative. An MRI of the brain demonstrated scattered restricted diffusion, consistent with acute arterial infarction (figure 1A). An echocardiogram demonstrated …
Contributors Toshiki Takenouchi examined the patient, compiled the images and drafted the manuscript. AS directly took care of the patient. Takao Takahashi edited the final article.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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