Case Study 2
A five-year-old female who lived in Missouri was taken to the emergency department (ED) in June. She had a three-day history of intermittent headache, nausea, and a sore throat. Her temperature was 105o F (40.6o C), and she had a maculopapular rash on her wrists, hands, legs and the soles of her feet. Laboratory tests were performed. Results of laboratory studies include:
- 8.8 X 109/mL WBC
- 5% band forms
- 70% neutrophils
- No morulae or spirochetes observed
- 50 x 109/mL platelets
- Mild elevation in liver transaminases
- Hyponatremia
Which of the following should be considered in the differential diagnosis of a child with a high fever and a rash?
Please select the single best answer