Acute infectious erythemas in children: a clinico-microbiological study

Abstract

One-hundred children with an acute illness comprising fever and widespread erythematous rash were prospectively studied to determine whether clinical presentations are helpful in defining the causative agent and to identify the most appropriate microbiological specimens. An infectious agent was identified in 65 children; 72% were viruses, 20% were bacteria, 5% were Mycoplasma pneumoniae and in 3% both viruses and bacteria were detected. The most common infectious agents were picornaviruses, an atypical presentation of measles and Group A beta-haemolytic Streptococcus. Different patterns of rash occurred with each of these infections. The clinical presentation of a child with an acute febrile illness and rash was unhelpful in defining the causative agent. Routine management should include a throat swab for bacterial investigation and in selected cases a blood sample for IgM viral titres.

Exanthem in children with rotavirus infection

“…The authors [9] considered the relevance of RV with regard to the rash questionable. We have not been able to find any other cases of association between RV infection and exanthetn in the literature.…”

Exanthems in Hospitalized Pediatric Patients: Concordance between Pediatric and Dermatological Diagnoses

“…In a study of 100 children with acute febrile illness and widespread erythematous rash, Goodyear et al [5] identified an infectious agent in 65% children: 72 were viruses, 20% bacteria, 5% Mycoplasma and 14% both viruses and bacteria, while 35% of the children remained undiagnosed. For the patients in our study, laboratory confirmation of a viral or bacterial etiology was even lower.…”

“…Age at inception and evolution time were compared by means of the Kruskal-Wallis test (two-tailed with · = 0.05) [4]. Concordance was defined as the coincidence between diagnoses of the consulting pediatric departments and the Pediatric Dermatology Department, and the Î coefficient was used to evaluate it [5].…”

Çocuklarda Ateşli̇ Döküntülü Hastaliklar

“…Goodyear ve arkadaşlarının 1991 yılında 100 ateşli, döküntülü çocuğun tanılarının araştırıldığı çalışmasının sonuçlarında 65 vakada enfeksiyon hastalıkları saptanmıştır. Bunlar içinde %65'ini viral döküntülü hastalıklar, %20'sini de bakteriyel enfeksiyonlar oluşturmuştur (5). Bu araştırma göstermektedir ki ateşli döküntünün görüldüğü hastalarda en sık neden olarak viral enfeksiyonlar öne çıkmaktadır.…”