Fever and rash in an 11-month-old girl

An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour, non-pruritic...

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Main Authors: Jamani, Nurjasmine Aida, Jahn Kassim, Puteri Shanaz
Format: Article
Language:English
English
Published: Academy of Family Physicians of Malaysia 2016
Subjects:
Online Access:http://irep.iium.edu.my/52284/
http://irep.iium.edu.my/52284/1/Vol%2011No1%20-%20Fever%20and%20Rash.pdf
http://irep.iium.edu.my/52284/7/52284_Fever%20and%20rash%20in%20an%2011-month-old%20girl_SCOPUS.pdf
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author Jamani, Nurjasmine Aida
Jahn Kassim, Puteri Shanaz
author_facet Jamani, Nurjasmine Aida
Jahn Kassim, Puteri Shanaz
author_sort Jamani, Nurjasmine Aida
building IIUM Repository
collection Online Access
description An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour, non-pruritic and discrete, which initially started on the trunk and later spread to the face, neck and extremities within 2 days. On further questioning, she was found to be appropriately immunised for her age according to the Ministry of Health’s immunisation schedule. No similar illnesses existed in her family and the nursery she attended. On examination, the infant appeared well, with a normal body temperature of 37°C and stable vital signs. A generalised erythematous maculopapular rash was observed extending from the head to her legs, which blanched with pressure. Involvement of the buccal mucosa was absent, with no palpable lymph nodes. She was prescribed paracetamol syrup regularly and care givers advised to maintain her hydration. The child remained well and active throughout the course of the illness. The rash subsequently subsided within a couple of days.
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spelling iium-522842017-03-19T08:51:24Z http://irep.iium.edu.my/52284/ Fever and rash in an 11-month-old girl Jamani, Nurjasmine Aida Jahn Kassim, Puteri Shanaz R Medicine (General) RJ Pediatrics RJ101 Child Heatlh. Child health services. Preventive health services for children RL Dermatology An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour, non-pruritic and discrete, which initially started on the trunk and later spread to the face, neck and extremities within 2 days. On further questioning, she was found to be appropriately immunised for her age according to the Ministry of Health’s immunisation schedule. No similar illnesses existed in her family and the nursery she attended. On examination, the infant appeared well, with a normal body temperature of 37°C and stable vital signs. A generalised erythematous maculopapular rash was observed extending from the head to her legs, which blanched with pressure. Involvement of the buccal mucosa was absent, with no palpable lymph nodes. She was prescribed paracetamol syrup regularly and care givers advised to maintain her hydration. The child remained well and active throughout the course of the illness. The rash subsequently subsided within a couple of days. Academy of Family Physicians of Malaysia 2016-09-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/52284/1/Vol%2011No1%20-%20Fever%20and%20Rash.pdf application/pdf en http://irep.iium.edu.my/52284/7/52284_Fever%20and%20rash%20in%20an%2011-month-old%20girl_SCOPUS.pdf Jamani, Nurjasmine Aida and Jahn Kassim, Puteri Shanaz (2016) Fever and rash in an 11-month-old girl. Malaysian Family Physician, 11 (1). pp. 15-17. ISSN 1985-207X http://e-mfp.org/wp-content/uploads/2016/11/fever-and-rash.pdf
spellingShingle R Medicine (General)
RJ Pediatrics
RJ101 Child Heatlh. Child health services. Preventive health services for children
RL Dermatology
Jamani, Nurjasmine Aida
Jahn Kassim, Puteri Shanaz
Fever and rash in an 11-month-old girl
title Fever and rash in an 11-month-old girl
title_full Fever and rash in an 11-month-old girl
title_fullStr Fever and rash in an 11-month-old girl
title_full_unstemmed Fever and rash in an 11-month-old girl
title_short Fever and rash in an 11-month-old girl
title_sort fever and rash in an 11-month-old girl
topic R Medicine (General)
RJ Pediatrics
RJ101 Child Heatlh. Child health services. Preventive health services for children
RL Dermatology
url http://irep.iium.edu.my/52284/
http://irep.iium.edu.my/52284/
http://irep.iium.edu.my/52284/1/Vol%2011No1%20-%20Fever%20and%20Rash.pdf
http://irep.iium.edu.my/52284/7/52284_Fever%20and%20rash%20in%20an%2011-month-old%20girl_SCOPUS.pdf