Andres Bayona, MD, Robert M Lapus, MD
Department of Emergency Medicine, University of Texas Medical School at Houston, Houston, Texas
Children’s Memorial Hermann Hospital, Houston, Texas
A one month old girl with a history of congenital complete Atrioventricular (AV) block with an implanted pacemaker placement on day of life 6, presented to the Emergency Department (ED) with rash and fever. One week prior to presentation she developed a rash on her face, which slowly spread to her chest, abdomen and extremities. On the day of presentation she developed a fever at home. Mom brought her to the pediatrician, who then referred them to the ED.