4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
13 years old male child presented with a history of fever since 2 weeks, developed maculo papular erythematous rash all over the body on 3 day of fever. on 8 th day rash faded but fever persisted. There were severe chills with lip cracking on fifth day of fever. fever subsided on 10 th day but again started on 13 th day. there was a history of increased bowel movements during the episode.h/o cough +.history of throat pain+.history of desquamation from ther finger tips from the 10 th day on wards including feet. on examination child was sick looking malnourished pallor+ cyanosis-jaundice- jugulo diagastric lymphadenopathy+ posterior cervical nodes both sides palpable no pedal edema vitals stable systemic examinations normal on investigations Hb is 11 gm% platelet 5.48 lacks ESR is 70 1sthr, 140 2nd hours all oter investigations normal including CBP< montoux was negative.
Answer
Rule out Kawasaki's disease. Though it is seen commonly in children less than 5 years of age, it may be seen in older children. Also rule out dengue fever, systemic onset JIA.
 
 
 
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