Response: The purple coloration in area of bites is more consistent with local bruising, perhaps made worse by scratching. If she has a fever, and starting to get generally sick, she could have an infection. N.B., most West Nile infections are usually clinically silent, and the vast majority of others are flu-like. It is rare that a full-blown brain infection occurs, in healthy children.
Answered 6/20/2015
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