This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
- Miltiadis Douvoyiannis, MD*
- Fatima S. Khan, MD†
- *Department of Pediatrics and Pediatric Infectious Diseases, Altru Health System, Main Clinic, Grand Forks, ND.
- †Department of Medicine, University of North Dakota School of Medicine, and Department of Allergy and Immunology, Altru Health System, Main Clinic, Grand Forks, ND.
AUTHOR DISCLOSURE
Drs Douvoyiannis and Khan have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
Presentation
A previously healthy 9-month-old girl was admitted to the Children’s Hospital at Saint Francis/The University of Oklahoma because of fever and rash. The fever started 2 days before the admission, and her temperature was up to 102.0°F (38.9°C). The rash occurred on the day of admission. It began as red raised lesions on the trunk and progressed to circular and annular lesions of various sizes. New eruptions occurred while previous lesions were changing in shape within a few hours. The rash was progressing, also involving the extremities, despite the use of over-the-counter diphenhydramine.
The infant had been diagnosed as having acute otitis media and was on the ninth day of amoxicillin administration. She was fully vaccinated. The rest of her medical history was noncontributory. She lived with her foster father.
On physical examination her vital signs were within normal limits. She was in no acute distress, drinking milk from her bottle, and occasionally smiling. Polycyclic, annular erythematous, raised lesions were detected over the infant’s torso and upper and lower extremities (Figure). The rash did not involve the palms and soles. In …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.
Log in through your institution
Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00
Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.