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 Case #36 “Red Hot Baby!”
by Charlene Babcock Irvin, MD
A three y/o presents with a bright red rash. She was well until last week when mom noted she had a fever. Tylenol would reduce the fever (which went as high as 101F), and when the fever went down, she was acting more normal. When the fever was high, she just wanted to lie down and rest….very atypical for this active toddler! She had a decreased appetite, but no vomiting. She preferred to only drink water or juice (did not want to eat solid food). No diarrhea, no cough, no runny nose, no pulling at ears. No one around her has been sick, and she is not in day care. Mom called the doctor’s office when the fever started, and the nurse thought it was probably a virus and told mom to treat with her with Tylenol.
She had seemed to recover and was doing well, until today when she woke up with a bright red rash on both cheeks. It scared mom, so she brought her baby in to be checked.
PMH. Full term baby, no hospitalizations. Went home with mom after delivery.
Shots up to date.
SH: No daycare, no smokers in the home.
FH: Neg, no other siblings at home.
VS: BP 95/60, HR=105, RR=25, Temp=98 F, Sat 96%
Playful toddler appearing non-toxic, interactive with mom as you enter the room.
PE: Essentially unremarkable except for bright red rash to cheeks. No other abnormalities are appreciated. Rash localized to cheeks only, does blanch, and is not itchy.
1. What is the diagnosis? Is it contagious? What causes it?
2. What are the other diseases in this numerical sequence?
3. Is it serious? Any other concerns to tell the mom?
Click here for answers and to respond
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