Fever and rash in an 11-month-old girl
An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour, non-pruritic...
| Main Authors: | , |
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| Format: | Article |
| Language: | English English |
| Published: |
Academy of Family Physicians of Malaysia
2016
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/52284/ http://irep.iium.edu.my/52284/ http://irep.iium.edu.my/52284/1/Vol%2011No1%20-%20Fever%20and%20Rash.pdf http://irep.iium.edu.my/52284/7/52284_Fever%20and%20rash%20in%20an%2011-month-old%20girl_SCOPUS.pdf |
| Summary: | An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased
appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised
erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour,
non-pruritic and discrete, which initially started on the trunk and later spread to the face,
neck and extremities within 2 days. On further questioning, she was found to be appropriately
immunised for her age according to the Ministry of Health’s immunisation schedule. No similar
illnesses existed in her family and the nursery she attended.
On examination, the infant appeared well, with a normal body temperature of 37°C and stable
vital signs. A generalised erythematous maculopapular rash was observed extending from the
head to her legs, which blanched with pressure. Involvement of the buccal mucosa was absent,
with no palpable lymph nodes. She was prescribed paracetamol syrup regularly and care givers
advised to maintain her hydration. The child remained well and active throughout the course of
the illness. The rash subsequently subsided within a couple of days. |
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