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Xander Cabales was an extremely outgoing, energetic and active 8-year-old boy. On the morning of June 21, 2014, Xander became ill and by that evening, his eyes had become red, and his eyelids and upper lip were swollen. The next morning, his fever spiked to 105 degrees, and he broke out in a severe rash all over his body. After being transferred to the PICU at Kapiolani Medical Center for Women & Children, he was placed under the care of Infectious Disease Specialist Dr. Marian Melish, who immediately diagnosed Xander with toxic epidermal necrolysis (TEN).