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No abstract available. Manuscript truncated after 150 words. History of Present Illness: A 29-year-old woman with a past medical history of lupus and prior pulmonary embolism complained of a 2-week history of nonproductive cough. The cough began after her son was diagnosed with respiratory syncytial virus (RSV). Symptoms progressively worsened and now she is admitted from the  emergency department (ED) with generalized weakness and progressive shortness of breath. Earlier in the day at an outside hospital, she tested positive for RSV, negative for COVID-19 and had normal O2 saturations and was discharged home. She has not received COVID-19 vaccine. Symptoms progressed, 911 was called and in the emergency department (ED), she was found to have temperature = 104°F, SpO2 = 64% on room air, and fasting blood sugar in the 40s. She was lethargic with visible respiratory distress and unable to answer questions. Past Medical History: •	Systemic lupus erythematosus  •	Membranous lupus nephritis  •	Raynaud's syndrome Mixed connective tissue disease, …

April 2022 Critical Care Case of the Month: Bullous Skin Lesions in the ICU