Intended for healthcare professionals

Rapid response to:

Clinical Review Interactive case report

A 2 year old child with rash and fever

BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7417.720 (Published 25 September 2003) Cite this as: BMJ 2003;327:720

Rapid Response:

Interactive case report: A 2 year old child with rash and fever BMJ 2003; 327: 720

This presentation with the subsequent lab results is likely to be "Group A streptoccocal" infection.
Apart from regular antipyretics (effective doses), a course of oral penicillin V (erythromycin if allergic) will be appropriate.
Elisabeth is likely to recover with no long-term effects especilally from the peeling skin. She is not likely to suffer pain as the skin lesions are in the "superficial" skin layer.

Competing interests:  
None declared

Competing interests: No competing interests

01 October 2003
David Osoba
Staff Grade community Paediatrician
BR2 9JG