Question: A 12 y.o. male just moved here from Texas. He presents with a headache, cough, fever, rash on the legs and arms, myalgias, and dysuria.

A 12 y.o. male just moved here from Texas. He presents with a headache, cough, fever, rash on the legs and arms, myalgias, and dysuria. His white blood cell count is 12.9 with 8% bands and 7%-10% eosinophils. Electrolyte levels are normal. Blood cultures are negative. Sputum is not available. A Mantoux skin test so far is negative. What do you suspect? coccymycosis

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