EVALUATING RASH IN FEBRILE CHILDREN


Varkal M. A. , Yildiz I. , Unuvar E.

JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, vol.78, no.1, pp.23-32, 2015 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Review
  • Volume: 78 Issue: 1
  • Publication Date: 2015
  • Title of Journal : JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
  • Page Numbers: pp.23-32
  • Keywords: Fever, child, rash, infection

Abstract

Fever accompanied by rash is a common complaint in pediatric practice. Mostly these conditions are caused by different viruses and self-limited. But, it may also be the first and only sign of serious and life-threatening bacterial infections, like meningococcemia and bacterial sepsis. The most important step in the diagnostic process is a detailed clinical examination. A detailed physical examination can easily lead the physician to the correct diagnosis. The rash in children is often maculopapular and nonspecific. However a petechial rash should be evaluated as meningococcemia until the contrary is proven. Most common diseases presenting with fever and rash are measles, rubella, scarlet fever, erythema infectiosum, roseola infantum, Epstein-Barr virus infection, cytomegalovirus (CMV) infections, Kawasaki disease and for our country Crimean-Congo hemorrhagic fever.