Rash with fever: Difference between revisions
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{{Search infobox}} | {{Search infobox}} | ||
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==Causes== | |||
===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref><ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>=== | |||
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*[[Drug reaction]]s | *[[Drug reaction]]s | ||
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*[[Varicella]] | *[[Varicella]] | ||
*[[exanthem|Viral exanthem]]s | *[[exanthem|Viral exanthem]]s | ||
==Diagnosis== | |||
== History and Symptoms == | ===History and Symptoms=== | ||
*Focused history is essential as fever w/ rash has many causes | *Focused history is essential as fever w/ rash has many causes | ||
*Determine toxicity | *Determine toxicity | ||
*A quick determination of RMSF and meningococcemia are important for immediate therapy | *A quick determination of RMSF and meningococcemia are important for immediate therapy | ||
===Laboratory Findings=== | |||
== Laboratory Findings == | |||
*Labs include | *Labs include | ||
:*Bacterial cultures from any wounds | :*Bacterial cultures from any wounds | ||
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:*[[Skin biopsy]] can determine [[vasculitis]] and detect rickettsial organisms in [[endothelium]] | :*[[Skin biopsy]] can determine [[vasculitis]] and detect rickettsial organisms in [[endothelium]] | ||
:*TSS - Wound cultures with growth of staph or strep | :*TSS - Wound cultures with growth of staph or strep | ||
== Treatment == | == Treatment == | ||
The most important thing is to evaluate the most dangerous diagnosis, then use "watch and wait" for less serious symptoms | The most important thing is to evaluate the most dangerous diagnosis, then use "watch and wait" for less serious symptoms | ||
== Pharmacotherapy == | == Pharmacotherapy == | ||
=== Acute Pharmacotherapies === | === Acute Pharmacotherapies === | ||
*RMSF - [[Doxycycline]] | *RMSF - [[Doxycycline]] | ||
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==References== | ==References== | ||
{{ | {{reflist|2}} | ||
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Revision as of 17:32, 22 February 2013
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Causes
Causes in Alphabetical Order[1][2]
- Drug reactions
- Fifth disease
- Measles
- Meningococcemia
- Parvovirus
- Rocky Mountain Spotted Fever
- Rubella
- Staphylococcus aureus
- Toxic Shock Syndrome
- Varicella
- Viral exanthems
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
The most important thing is to evaluate the most dangerous diagnosis, then use "watch and wait" for less serious symptoms
Pharmacotherapy
Acute Pharmacotherapies
- RMSF - Doxycycline
- Meningococcal - Ceftriaxone