Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion

Case 6: Rash and Fever in a 9-month-old Girl

Diana Montoya-Williams, Punitha Jayaramaraju, Paul Hiers and Alexandra Butler
Pediatrics in Review February 2017, 38 (2) 99-100; DOI: https://doi.org/10.1542/pir.2015-0030
Diana Montoya-Williams
*Department of Pediatrics, University of Florida, Gainesville, FL
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Punitha Jayaramaraju
*Department of Pediatrics, University of Florida, Gainesville, FL
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul Hiers
*Department of Pediatrics, University of Florida, Gainesville, FL
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alexandra Butler
*Department of Pediatrics, University of Florida, Gainesville, FL
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

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.

Download PDF
  1. Diana Montoya-Williams, MD*
  2. Punitha Jayaramaraju, MD*
  3. Paul Hiers, MD*
  4. Alexandra Butler, MD*
  1. *Department of Pediatrics, University of Florida, Gainesville, FL
  • AUTHOR DISCLOSURE

    Drs Montoya-Williams, Jayaramaraju, Hiers, and Butler 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 9-month-old girl who was born at term presents with rash for 11 days and low-grade fevers (100.4°F–101.3°F [38.0°C–38.5°C]) for 5 days. When febrile, she is fussy and her rash seems more prominent, but otherwise she has been at her baseline and playful. She has had no cough, rhinorrhea, congestion, vomiting, diarrhea, conjunctivitis, mucosal changes, change in appetite, evidence of pain or swelling of her extremities, or weight loss. Her parents deny new exposures or recent travel. She has received no medications and is up to date with her immunizations.

Physical examination reveals a well-developed, well-appearing infant. She is febrile (100.6°F [38.1°C]) and tachycardic (heart rate, 170 beats/min), but the rest of her vital signs are normal. Her rash is noted to be raised, erythematous, and blanching, in some areas coalescing to cover large areas of skin (Fig). It is present throughout her trunk and extremities, while sparing her mucosa, palms, and soles. She is not noted to have swelling or pain with manipulation of her joints. There is no lymphadenopathy or hepatosplenomegaly.

Figure.

Rash on hospital admission.

Initial laboratory results include a white blood cell count of 25,800/μL (25.8×109/L) with a normal differential count, mild normocytic anemia (hemoglobin level of 10.3 g/dL [103 g/L]), and a platelet count of 495×103 …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

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

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

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.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics in Review: 38 (2)
Pediatrics in Review
Vol. 38, Issue 2
1 Feb 2017
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 6: Rash and Fever in a 9-month-old Girl
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 6: Rash and Fever in a 9-month-old Girl
Diana Montoya-Williams, Punitha Jayaramaraju, Paul Hiers, Alexandra Butler
Pediatrics in Review Feb 2017, 38 (2) 99-100; DOI: 10.1542/pir.2015-0030

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 6: Rash and Fever in a 9-month-old Girl
Diana Montoya-Williams, Punitha Jayaramaraju, Paul Hiers, Alexandra Butler
Pediatrics in Review Feb 2017, 38 (2) 99-100; DOI: 10.1542/pir.2015-0030
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Presentation
    • Discussion
    • Suggested Readings
  • Figures & Data
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Fatal Arrhythmia in a 2-day-old Full-term Infant
  • Choking and Cyanotic Episodes in a 3-month-old Male
  • Hypersomnolence in a 17-year-old Boy
Show more Index of Suspicion

Similar Articles

Subjects

  • Hematology/Oncology
    • Hematology/Oncology
  • Infectious Disease
    • Infectious Disease
  • Rheumatology/Musculoskeletal Disorders
    • Rheumatology/Musculoskeletal Disorders
    • Collagen Vascular & Other Multisystem Disorders
  • Allergy/Immunology
    • Immunologic Disorders
    • Allergy/Immunology
  • Journal Info
  • Editorial Board
  • ABP Content Specifications Map
  • Overview
  • Licensing Information
  • Authors
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics