Diagnostic Dilemma

Fever with desquamation


Author: Pediatric Oncall
Question
A one-year-old girl with fever for 15 days and diarrhea, vomiting, and maculopapular erythematous rash over the body 12 days ago. She was admitted to a hospital and treated with IV antibiotics but fever persisted. There was no cough, urinary complaints, or contact with TB. On looking at the child, she had desquamation of the skin over palms and pink lips.

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