Clinical Review Interactive case report

A 2 year old child with rash and fever

BMJ 2003; 327 doi: (Published 25 September 2003) Cite this as: BMJ 2003;327:720
  1. Rita Sharma, clinical lecturer1,
  2. Andrew Boon, consultant paediatrician2,
  3. Anthony Harnden, university lecturer (
  1. 1Department of Primary Health Care, Institute of Health Sciences, Oxford OX3 7LF
  2. 2Royal Berkshire Hospital, Reading RG1 5AN
  1. 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

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

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