11 year old patient comes to the office due to malaise, nausea (1 vomit which she recalls had blood in it), sore throat, cough and the appearance of a maculopapular rash in anterior and posterior thorax which disappears as you press it, also it’s not palpable. As you can see from the images she has conjunctivitis, and the tonsils were frankly suppurative. She doesn’t recall having fever but she did had a Acetaminophen pill. During the consultation she had 37.6°C. I could also appreciate painful nodules on her anterior neck as well as little enanthema on the “hard palate”. No sore joints or muscles. (3rd image is anterior thorax)

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Infectious mononucleosis(IM), supportive tt only req.
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3 of 5 .kawasaki. go for 2decho
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Allergies dermatitis?
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Kawasaki disease
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It is all due to throat infection with tender neck glands it seems to be bacterial,but best way to go for a throat swab and go for culture and sensitivity,and start the pt on some basic antibiotic,like amoxil or if you want to make it expensive start on augmenting as per age , for conjunctivitis try simple antibiotic eye drops , one should always think of simple diagnosis and try simple measures,before jumping to high folluted diagnosis .wait for culture report And if no growth,think viral .some time rashes appear any infection and subside as the condition improves.
Wait and see it could be measles or viral,just try paracetamol,or if the temp goes very high try cold compress.
Measle like rash (conjunctivitis is present in measles) with suppurative Tonsilitis
Atypical Kawasaki disease. It is more common. Send for 2d echo and give IVIg
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1 infectius mononucleosis 2 dengue 3 measals
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Could be pharyngoconjunctival fever
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