Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking.

Eric Balighian, Sanjeev Y. Tuli, Sonal S. Tuli, Christian Castillo, Elizabeth Carreño, Yuly Carreras, Catalina Mariño, Magda Mendez

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