Rash with fever

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Resident
Survival
Guide

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

Causes in Alphabetical Order[1][2]

Diagnosis

History and Symptoms

  • Focused history is essential as fever w/ rash has many causes
  • Determine toxicity
  • A quick determination of RMSF and meningococcemia are important for immediate therapy

Laboratory Findings

  • Labs include
  • Bacterial cultures from any wounds
  • Toxic patients - blood cultures
  • Meningococcemia (suspected) - Lumbar puncture
  • Antibody titers confirm RMSF
  • Skin biopsy can determine vasculitis and detect rickettsial organisms in endothelium
  • TSS - Wound cultures with growth of staph or strep

Treatment

Medical Therapy

The most important thing is to evaluate the most dangerous diagnosis, then use "watch and wait" for less serious symptoms

Pharmacotherapy

Acute Pharmacotherapies

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X


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