A 2 year old child with rash and fever

doi:10.1136/bmj.327.7417.720

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Rita Sharma, clinical lecturer1,
Andrew Boon, consultant paediatrician2,
Anthony Harnden, university lecturer (anthony.harnden@dphpc.ox.ac.uk)1

¹Department of Primary Health Care, Institute of Health Sciences, Oxford OX3 7LF
²Royal Berkshire Hospital, Reading RG1 5AN

Correspondence to: A Harnden

Last week (20 September, p 668) we described the case of a 2 year old girl with a maculopapular rash, fever, and dehydration. Her general practitioner thought she had a self limiting viral illness but encouraged her father to return with Elisabeth if her symptoms didn't resolve. To look at discussion of the case so far go to bmj.com

Elisabeth returned to nursery. Over the next two weeks she spiked intermittent fevers of up to 39°C (fig 1 …