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Table 22-2 CommonProdrome

Childhood Infections With Exanthems


Enanth.., I!zanth"" ComplicatiolU
, MeasI"

· Cough Koplik spots Macules: hairline, face,
· Otitis media
neck --+ trunk and
· CO'Y'"
Conjunctivitis extremities
· Pneumonia
Encephalitis
· High fever ·
· ·
Subacute sclerosing
panencephalitis
Rub<Ua Mild constitutional Forsche.imer spots
· Similar to measles Congenital rubella-
symptoms
· Posterior cervical &
auricular nodes
teratogenic

M=ps
· Headache Glandular swelling Swollen parotid &
· Encephalitis
· Fever submandibular glands
· Orchitis
· Malaise . · Pancreatitis
· Muscle pain .
Varicella
· Low-grade fever None
· Crops of papules, · Superinfection
· Malaise vesicles
· Zoster
· URI symptoms · Crusts at same time · Pneumonia
· Central to peripheral · Hepatitis
· Encephalitis
· Congenital ~aricella
Fifth Disease ~{ild URI None Slapped cheek --+ trunk Aplastic anemia
symptoms -e central clearing-lacey

•...• ,. · URI symptoms None Fever falls rapidly ----) Febrile seizures

· Abrupt onset fine macular rash on

· b,,",,
High fever then trunk and spreads 10
extremities
Scarlet f<vc< Sore throat
. Exudative · Fine maculopapular
· Acute rheumatic fever
pharyngitis rash (feels like sand
· Glomerulonephritis
. Strawberry tongue paper, especially
in antecubitus and
inguinal areas)

· Pastia lines

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