A Very Sick 3-Year-Old: Fever, Cough, Congestion & Rash

October 7, 2016
Jonathan A. Schneider, DO
Jonathan A. Schneider, DO

Onset of illness was acute; fever is high and rash is widespread. Exam is performed in isolation. Your Dx?

Some readers may be familiar with the situation encountered in this case, including the symptoms recounted and the sight of the child whose examination was confined to an isolation room.Take note of the symptom constellation as as well as the images; you may see more of this type of illness, but the hope is you won't. (Resources below; view case slides first)     Resources American Academy of Dermatology. Viral Exanthems: Medical Student Core Curriculum in Dermatology. Presentation updated March 2011.American Academy of Pediatrics. Measles. Pickering LK, ed. Red Book: Report of the Committee on Infectious Disease. Elk Grove, Ill: AAP; 2012. 441-52.CDC. Measles (Rubeola) for healthcare professionals. Accessed October 7, 2016.Kutty P, Rota J, Bellini W, et al. Measles. In: VPD Surveillance Manual, 6th Edition, 2013. Chapter 7-1:  a