Diagnostic Dilemma - Pediatric Oncall
Infectious Disease
Author: Vamshidhar
A 7yr old male child presented with 4 days history of high grade fever along with faint erythematous macular rash on chest and hands and numerous petechiae on soft palate noted on day 2 of fever. He was on Paracetamol and Voltaren suppositories. He became afebrile 2 days later and was asymptomatic. 1 week later parents noticed the child developing peeling of skin from the tips of the fingers and whooping cough. CBC shown Absolute neutrophilia with activated lymphocytes and normal platelet count. WBC is 22400 and CRP is 18.9. Initially treated as _?EBV infection and later when counts were noted to be high{child is afebrile} child was put on Azithromycin, but after first dose he developed urticarial rash all over body which got better with chlorpheneramine maleate.
Child had no history of allergies and has taken Azithromycin earlier in his life.
Answers of this discussion
Author :- Jose Samosc on 01 March 2012.
Answer :- Pb Infectious mononucleosis vs Kawasaki disease

Author :- Vijayalaxmi on 01 March 2012.
Answer :- Scarlet fever

Author :- walid hamza on 02 March 2012.
Answer :- scarlet fever

Author :- SAURAPRATIM GHOSH on 03 March 2012.
Answer :- KAWASAKIs Disease

Author :- naji ahmedc on 04 March 2012.
Answer :- scarlet fever. allergy to azithromycin.

Author :- Mohamed sadhiq ali on 04 March 2012.
Answer :- it is clearly viral.if he is afebrile dont start any antibiotics start antihistamine and note AEC and urine routine and C, s.

Author :- Dr muhammad idrees on 12 March 2012.
Answer :- Kawasaki disease

Author :- amlcash adv on 20 March 2012.
Answer :- candidiasis

Author :- houwayda alhagi on 23 March 2012.
Answer :- atypical kawasaki disease still in mind

Author :- PRABHUcash on 24 March 2012.
Answer :- mycoplasma

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