{
  "abstract": "A 2-month-old boy presented with bilateral group-E intraocular retinoblastoma diagnosed at 40 days of life. While he was admitted for cycle 2 of standard chemotherapy with vincristine, etoposide and carboplatin, his mother had a viral prodrome with myalgia, coryza and severe joint pain affecting the major joints. A week after chemotherapy, the baby experienced high-grade fever spikes and a faint erythematous blanchable generalised rash over the trunk, limbs and face, including a faint rash on the palms and soles. Investigations revealed pancytopenia (haemoglobin—8.1g%; total leucocyte count—1200*10∧9/L; neutrophils—10% and platelets—53*10∧9/L). Liver function tests showed transaminitis (alanine transaminase—695 U/L), and creatinine was normal. Blood cultures were sterile. The dengue NS1 antigen and a respiratory viral panel by PCR including influenza virus, respiratory syncytial virus and human metapneumovirus were negative.",
  "authors": [
    {
      "affiliations": [
        "Pediatric Hemato-oncology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Dhaarani Jayaraman"
    },
    {
      "affiliations": [
        "Dermatology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Katheeja Nasika"
    },
    {
      "affiliations": [
        "Pediatrics and Neonatology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Rajasree Sundararajan"
    },
    {
      "affiliations": [
        "Pediatric Hemato-oncology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Julius Xavier Scott"
    },
    {
      "affiliations": [
        "Sankara Nethralaya Hospital, Chennai, Tamil Nadu, India"
      ],
      "name": "Suganeswari Ganesan"
    },
    {
      "affiliations": [
        "Pediatric Critical Care Unit, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Ravikumar Thambithurai"
    },
    {
      "affiliations": [
        "Pediatric Hemato-oncology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Madhulika C"
    },
    {
      "affiliations": [
        "Pediatrics, Pediatric Gastroenterology and Hepatology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Naresh P Shanmugam"
    },
    {
      "affiliations": [
        "Pediatrics and Neonatology, Dr Rela Institute and Medical Centre, Chennai, Tamil Nadu, India"
      ],
      "name": "Tharun Babu"
    }
  ],
  "title": "Unravelling the underlying febrile illness in an infant on chemotherapy: clinical picture",
  "uid": "e3e5b1cb-149b-5ba1-a113-1966bc567480"
}