Approach to bacterial causes of fever and rash (pediatrics) Quiz: Ace Your Exams
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A 9-year-old boy living in Ohio presents to the office for a sore throat and rash for five days. The rash started on the neck and then spread to the arms and chest. There is no history of joint pain, headache, or cough. There has been no recent travel or exposure to sick contacts. Past medical, family, and surgical histories are non-contributory. Temperature is 38.9°C (102°F), pulse is 119/min, respirations are 26/min, blood pressure is 110/65 mm Hg, and oxygen saturation is 99% on room air. On physical exam, there is evidence of exudative pharyngitis, circumoral pallor with a strawberry tongue, and cervical lymphadenopathy. Cardiopulmonary and abdominal exams are unremarkable. Which of the following best describes the type of rash that would be expected in this patient?
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