DECEMBER: FEVER & RASH
Parents come to the ER with their fully vaccinated 8 month old who has had fever and rash for 4 days. They saw the pediatrician yesterday in the office. He told them it looked like the fever and conjunctivitis were probably from adenovirus. Desetin was recommended for the diaper rash. Today they say he is more irritable and the rash looks worse. The child has URI symptoms, but no GI symptoms. On exam he is calm in mom’s lap with normal vital signs except for a temperature of 101.2. His exam is normal except for the findings shown in the images below.
What is the differential diagnosis? What should you do next?
Posted: November 21st, 2007 under Main.
Comments: 1
Comments
Comment from Melody Comendador
Time: December 2, 2007, 4:28 pm
hi Brady, thanks for this very informative ped rash/fever case. I did took care a case like this with unusual rashes associated with fever that no one knew what causes that. The child admitted for eval in our peds unit with fever luckily she was fine. Next time if I triage this symptoms I will includeand asked the parents what immunization the infant or child received recently and that help to tell my ED providers. Thank you.
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