PMC6904297_01
Crusted VZV lesions (sacrum) and reddish-blue painful lesion on left buttock.
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F1
Next to multiple crusted skin lesions there was a tender and discolored area (3-5 cm) on the left buttock (Figure 1).
Chest X-Ray showing pulmonary infiltrates and cardiomegaly.
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F2
Two days later the boy's general condition deteriorated further and a second echocardiography revealed progressive prolapse of the mitral valve, assuming rupture of the chordae tendineae (Figure 2).
Echocardiography showing prolapse of mitral valve (arrow).
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F3
X-ray of the chest revealed pulmonary infiltrations due to mitral regurgitation (Figure 3).