BMJ 2003;327:668 (20 September), doi:10.1136/bmj.327.7416.668
Clinical review
Interactive case report
A 2 year old child with rash and fever
Rita Sharma, clinical lecturer1, Andrew Boon, consultant paediatrician2, Anthony Harnden, university lecturer1
1 Department of Primary Health Care, Institute of Health Sciences, Oxford OX3 7LF, 2 Royal Berkshire Hospital, Reading RG1 5AN
Correspondence to: A Harnden anthony.harnden@dphpc.ox.ac.uk
| The first 150 words of the full text of this article appear below. |
Elisabeth first became unwell during the evening of her 2nd birthday. Her parents noticed that she was "grizzly and off her food." Later that night she woke with a temperature of 38.9°C. During the next two days her fever, lethargy, and irritability persisted despite regular paracetamol. Her fluid intake was poor. On the second evening her mother noticed that Elisabeth was very thirsty but cried whenever she put a cup to her mouth. Her tongue was brick red, furrowed, dry, and seemed painful. Her eyes were inflamed and had a watery discharge. She had a faint rash on her left thigh, back, and face. Her perineum had started to peel. By the following afternoon (day 3) Elisabeth had had a dry nappy for 24 hours, and her mother contacted her local out of hours service. She received advice to encourage fluids and to continue to administer an antipyretic. The following
-->
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
StumbleUpon 
Technorati What's this?
Relevant Articles
- A 2 year old child with rash and fever
- Rita Sharma, Andrew Boon, and Anthony Harnden
BMJ 2003 327: 916.[Extract] [Full Text] [PDF]
- A 2 year old child with rash and fever
- Rita Sharma, Andrew Boon, and Anthony Harnden
BMJ 2003 327: 720.[Extract] [Full Text] [PDF]
Rapid Responses:
Read all Rapid Responses
- Kawasaki Syndrome?
- Florim Cuculoski
bmj.com, 19 Sep 2003 [Full text] - THIS CHILD HAD KAWASAKI DISEASE
- VARADARAJAN ARULALAN
bmj.com, 19 Sep 2003 [Full text] - Kawasaki disease
- Prasad CSBR
bmj.com, 19 Sep 2003 [Full text] - Child with fever and rash
- DA Gauld
bmj.com, 19 Sep 2003 [Full text] - Kawasaki Syndrome (Atypical)
- Vinod K Pandey
bmj.com, 19 Sep 2003 [Full text] - Kawasaki
- joseph yazbeck
bmj.com, 19 Sep 2003 [Full text] - Kawasaki disease
- Dr. Asadullah KHAN
bmj.com, 19 Sep 2003 [Full text] - Early diagnosis and treatment is necessary in Kawasaki disease
- Sadik Aksit
bmj.com, 19 Sep 2003 [Full text] - Fever with Rash
- NISCHAL K RAO
bmj.com, 19 Sep 2003 [Full text] - Kawasaki as a function of vaccine damage?
- Lisa C Blakemore-Brown
bmj.com, 19 Sep 2003 [Full text] - SCARLET FEVER
- KAILASH BIHARI
bmj.com, 19 Sep 2003 [Full text] - child with rash and fever
- Pablo Rojo
bmj.com, 19 Sep 2003 [Full text] - Scarlet fever
- sandeep buddha
bmj.com, 19 Sep 2003 [Full text] - viral exanthema
- Omar Bawazir
bmj.com, 19 Sep 2003 [Full text] - paediatric cardiology commentator's response
- Nick Archer
bmj.com, 20 Sep 2003 [Full text] - Kawasaki UPO
- Anthony N Glaser
bmj.com, 20 Sep 2003 [Full text] - Rash and desequamation
- Elizabeth M Norris
bmj.com, 20 Sep 2003 [Full text] - infectious mononucleosis
- george sassin gereige, et al.
bmj.com, 21 Sep 2003 [Full text] - kawasaki disease?
- vijayashankara.c. nanjegowda
bmj.com, 21 Sep 2003 [Full text] - attitudes
- belche jean
bmj.com, 21 Sep 2003 [Full text] - 2 year old child with fever and rash
- Somnath Banerjee
bmj.com, 21 Sep 2003 [Full text] - r/o Kawasaki and measles but likely other viral exathem
- Robert Perry
bmj.com, 22 Sep 2003 [Full text] - 2 year child with rash
- Mohammad Zaki Hasan
bmj.com, 22 Sep 2003 [Full text] - Atypical Kawasakis Disease
- adrian r crofton
bmj.com, 22 Sep 2003 [Full text] - Criteria not met for Kawaski disease
- Mich Lajeunesse
bmj.com, 22 Sep 2003 [Full text] - child with rash
- rajavelu ganesan
bmj.com, 23 Sep 2003 [Full text] - Primary Immunodeficiency
- Ramzi Y Khamis
bmj.com, 23 Sep 2003 [Full text] - Would ISABEL help Elizabeth?
- Benjamin Jacobs
bmj.com, 23 Sep 2003 [Full text] - Stevens-Johnson Syndrome
- Velur P Balasubramaniam, et al.
bmj.com, 23 Sep 2003 [Full text] - Hypersensitivity syndrome
- Ranjani SG
bmj.com, 23 Sep 2003 [Full text] - Our "blind" working response
- Maurice Conlon
bmj.com, 24 Sep 2003 [Full text] - Kawasaki's Disease
- Gregory Ho
bmj.com, 24 Sep 2003 [Full text] - Challenge of diagnosing Kawasaki's Disease in Primary Care
- joanna I walsh, et al.
bmj.com, 25 Sep 2003 [Full text] - Differential Diagnosis
- Brian Morgan
bmj.com, 25 Sep 2003 [Full text] - Primary Immunodeficiency
- Niranjan Shendurnikar
bmj.com, 25 Sep 2003 [Full text] - Paediatric infectious diseases commentator's response
- David Burgner
bmj.com, 25 Sep 2003 [Full text] - Re: Would ISABEL help Elizabeth?
- Michael D Innis
bmj.com, 25 Sep 2003 [Full text] - answer
- Tom m Nyhan
bmj.com, 25 Sep 2003 [Full text] - Possible Kawasaki's Disease-interesting case history
- PRAVIN SINGH
bmj.com, 27 Sep 2003 [Full text] - 2 year girl with rash
- Kumar Ganesan
bmj.com, 26 Sep 2003 [Full text] - ? Kawasaki disease
- Simon Odum
bmj.com, 26 Sep 2003 [Full text] - Kawasaki's disease
- Annika Volke
bmj.com, 26 Sep 2003 [Full text] - answer
- Patricia E Kelly, et al.
bmj.com, 27 Sep 2003 [Full text] - Kawasaki disease
- Prasad CSBR
bmj.com, 27 Sep 2003 [Full text] - Re: Paediatric infectious diseases commentator's response
- Ranjani SG
bmj.com, 27 Sep 2003 [Full text] - Kawasaki Disease
- Dr.Suresh Chandran
bmj.com, 28 Sep 2003 [Full text] - diagnosis of 2 yrs old child
- imtiaz ahmad salara
bmj.com, 28 Sep 2003 [Full text] - Kawasaki
- peter j s baker
bmj.com, 28 Sep 2003 [Full text] - 2yr old girl with rash & fever Likely Kawasakis disease
- Palla Prabhakara Reddy
bmj.com, 28 Sep 2003 [Full text] - KD >SF >SSSS
- Sadasivam Arun
bmj.com, 28 Sep 2003 [Full text] - It is Kawasaki`s Disease
- Vijayashankara.C. Nanjegowda
bmj.com, 29 Sep 2003 [Full text] - Viral Infection
- Pablo Martinez
bmj.com, 29 Sep 2003 [Full text] - Tropical write-up holds the clue?
- Rik M Pelfrene
bmj.com, 30 Sep 2003 [Full text] - Probable Kawasaki Disease
- Morgan Keane
bmj.com, 30 Sep 2003 [Full text] - Why not a Reye's syndrome?
- Giuseppe Vetrugno, et al.
bmj.com, 30 Sep 2003 [Full text] - Kawasaki disease
- Jeremy M Sager
bmj.com, 30 Sep 2003 [Full text] - KAWASAKI DISEASE
- Dr. Asadullah KHAN
bmj.com, 30 Sep 2003 [Full text] - Kawasaki 's disease
- Alain Martinole
bmj.com, 1 Oct 2003 [Full text] - A 2 year old child with rash and fever
- margit janossa-tahernia
bmj.com, 3 Oct 2003 [Full text] - Answers to 3 questions re 2 year old with rash
- Fred W. Whitehouse
bmj.com, 3 Oct 2003 [Full text] - Scarlet Fever
- Elizabeth Smedley
bmj.com, 3 Oct 2003 [Full text] - Autoimmune Disease
- Mohi U Qureshi, et al.
bmj.com, 9 Oct 2003 [Full text] - ?repeat all the investigations
- Johnson.G Anthony
bmj.com, 12 Oct 2003 [Full text]
This Article
- Full text
- Respond to this article
- Read responses to this article
- Alert me when this article is cited
- Alert me when responses are posted
- Alert me when a correction is posted
Services
- Email this article to a friend
- Find similar articles in BMJ
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Related Content
-
Other anaesthesia
-
General practice / family medicine
-
Child health
-
Dentistry and oral medicine
-
Ear, nose and throat/otolaryngology
- Relevant Articles
- Find this article in its weekly table of contents
Bookmark with
What's new
Latest blogs
Find BMJ on:
Services
Tools
Online poll
Resources
Rapid responses for this article
Print issues
