Rash preceded by fever and cough

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Rash preceded by fever and cough
Rash preceded by fever and cough

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A child aged 23 months was admitted to the hospital with a four-day history of a high fever, cough, and conjunctivitis of unknown origin prior to the onset of an extensive, maculopapular rash. Neither the mother nor the father in this one-child family had any symptoms or rash. The young girl had no known exposures to anyone with a viral disease; however, she frequently accompanied her mother to the airport to pick up and drop off her father. After admission, the patient was placed on prophylactic oral antibiotics. When examined on her second hospital day, the child's fever was waning while the rash was worsening.

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