Rash with fever resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rinky Agnes Botleroo, M.B.B.S.

Synonyms and keywords:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes of febrile rashes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Common causes of rash with fever are given below[1] :

Diagnosis

Shown below are 04 algorithms summarizing the diagnosis of Rash with fever in a patient:

 
 
 
 
 
 
Patient with Fever and Rash
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take complete history
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Record Vital signs:

❑ Measure the temperature
❑Record Pulse rate
❑Record Blood pressure

❑Record Respiratory rate
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask about associated symptoms:

Vomiting
Nausea
❑ Abdominal Pain
Cough
Sore throat
Chest pain
Arthralgias
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask about other medical history:

Asplenia
❑ Infection or Inflammation

Sarcoid
Malignancy
Collagen vascular disease
❑Any recent medications
Valvular heart disease
Chronic liver disease
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask about recent travel history/Exposure:

❑Communal living
Tick exposure
❑ Dog exposure
❑ Salt water exposure
Tampon use
❑ International travel
IVDU
Trauma and Diabetes Mellitus
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Characterize rash
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Maculopapular rash
 
 
Petechial/Purpuric rash
 
 
Vesiculobullous rash
 
 
 
Erythematous rash
 


Terminolgies used to diagnose Rashes

Term Clinical Features
Lesion Single,Small affected area
Rash An eruption on the skin; more extensive than a single lesion
Macule Well circumscribed area of change without elevation
Papule Solid raised lesion ≤1 cm
Petechia Small red/brown macule ≤1 cm

that does not blanche

Purpura Hemorrhagic area > 3 mm that does not blanch

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • Don’t use rubbing alcohol on skin
  • Don't clean open wounds with hydrogen peroxide or bleach
  • Don’t use a triple-antibiotic ointment

References

  1. Kang JH (September 2015). "Febrile Illness with Skin Rashes". Infect Chemother. 47 (3): 155–66. doi:10.3947/ic.2015.47.3.155. PMC 4607768. PMID 26483989.