Derm Dx: Fever and rash for eight days

A 2-year-old black female presents to the ED with her mother after experiencing eight days of high-grade fever (up to 103° F) and six days of rash. The mother states that the rash began on the patient’s hands and feet and subsequently became generalized.

On day three of illness, the patient developed erythema in her perineum, which start to ...