Fever with rash

FEVER WITH RASH

Dr Bhupendra ShahSenior ResidentB.P Koirala institute of health sciences

ESCHAR not Scab

Ricketssia: ankle and wrist

Candidiasis

Infective endocarditis

Rose spot

Lupus Vulgaris

Fever with rash

Benign to life threatening

Fever with rash

Infective to non infective

Fever with rash

Simple to most confusing

Then what is required?

History

Physical examination

Lab data

Mr A ,35 year old male presented with fever:3 days

Now how to approach?

History: Ag e of patient

Temporal pattern with fever and rash.

Recent travel

Animal exposure

Medication history

Contact history

Immunocompromised status

Is it systemic infection or dermatological problem?

Blanching?

Maculopapular rashes

Centrally predominance Peripheral predominance

Rubella

Erythema infectiosum

Roseola infantum

Drug reactions

Erythema multiforme

Dengue

Rickettsia

Meningococcemia

Erythema multiforme

Petechial rash

Meningococcemia:WATCH puppuric lesion in extremities

Diffuse erythema with desquamation

Scarlet fever

Toxic shock syndrome

Vesiculobullous- Pustular lesion

Varicella zoster

Herpes Zooster

Malar rash

What you learn?

History

Recognise the lesion

Caution regarding life threatening condition.

Don’t panic.

Thank you