An eight-year old girl with fever and rash: What is the possible diagnosis?

• Published in: Malaysian Family Physician
• Main Author: Samat F.; Miptah H.N.; Hu S.E.
• Format: Article
• Language: English
• Published: Academy of Family Physicians of Malaysia 2023
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181885446&doi=10.51866%2ftyk.298&partnerID=40&md5=13111e05640e393be652c2c33c279702

In this clinical challenge, we describe the case of a previously healthy 8-year-old girl who presented to a primary care clinic with fever, reduced oral intake and malaise on day 3 of her illness. Clinical examination revealed that she was tachypnoeic and tachycardic. An erythematous rash was found across the bridge of her nose and cheeks, and several painless ulcers were noted in the oral cavity. Blood investigation showed thrombocytopenia, while urinalysis revealed microscopic haematuria and proteinuria. Useful initial diagnostic imaging studies were discussed, including bedside ultrasound in the ambulatory care setting. It is imperative that primary care providers be vigilant when encountering cases like this. © 2023, Academy of Family Physicians of Malaysia. All rights reserved.