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THE DIAGNOSTICIAN
James H. Brien, DO, Pediatric Infectious Disease, Scott and White’s Children’s Health Center and Associate Professor of Pediatrics,
Texas A&M University, College of Medicine, Temple, Texas.
e-mail: jhbrien@aol.com |
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by James H. Brien, DO
Special to Infectious Diseases in Children
A 10-month-old boy was in the hospital being treated for salmonella osteomyelitis of the scapula when near the end of his course of therapy, a rash developed. He had an excellent response to the ceftriaxone that was being used for intravenous antimicrobial therapy for his osteomyelitis, and was clinically well when the rash began. He remained well with no fever or any new complaints except mild itching, which did not interfere with his play or other activities. His appetite remained good and he otherwise had no new symptoms.
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On examination, he was a happy baby with normal vital signs, and his exam was also normal except for the rash, which was a maculopapular rash with a general distribution, containing numerous annular lesions, some with purplish-gray centers, as shown in figures 1 – 5. There was no mucous membrane inflammation of the eyes, lips, mouth or urethra, or other positive findings.
No lab tests were done for the rash, but periodic testing of CBC’s, metabolic profiles, C-reactive proteins and urinalyses has all recently been normal. |
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What’s Your Diagnosis?
- Erythema Multiforme
- Kawasaki Disease
- Urticaria
- Stevens-Johnson Syndrome
Click here for answer.
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