Thoroughly evaluate children who present with systemic symptoms of fever, malaise, fatigue, and rash to eliminate diagnosis of bacterial meningitis. Distribution of the rash in keeping with that of a bathing suit, along with a history of salt water exposure during the spring and summer months along the eastern coast of Florida, should help to establish the diagnosis. A dermatologic consultation will prove helpful if an element of doubt exists in the diagnosis. Toxic and allergic cutaneous reactions to jellyfish with special reference to delayed reactions. Medicine is a constantly changing science and not all therapies are clearly established.
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