You get an emergency consult as an infectious disease doctor. A 25 year old girl had presented with high fever and severe headache. She was throwing up every few hours and had trouble moving her neck. She avoided light and sound and acted confused and lethargic. She was treated a week ago, but came in today with a severe rash. She said she felt feverish earlier with sore throat, cough, and malaise.
You look closely at her. It looks like you can peel away the top layer of skin from the lower layers. It's almost as if she's been severely burned. You notice blisters and erosions in her mouth. She says, "I can't eat, my eyes hurt, it hurts when I pee..." Indeed, this rash covers her eyes, her mouth, and vagina.
Challenge: What is the diagnosis?
1. When she originally presented to the doctor, what did she have?
2. What is the cause of her current condition?
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