From two weeks, my 8 months girl baby had a fever with difficulty to breathe. I took her to the doctor, he did xray, CBC(WBC 24, HCT 29, MCV=73.3) and CRP=14, it is diagnosed as pneumonia, he prescribed Augmentin 20 sachets for 10 days, with a first IM shot. As per his instructions, i brought her to the hospital after two days, to do a new CBC, which it did show(WBC=17),(CRP=8). and no fever anymore. He asked us to continue with the Augmentin till the 10th day and bring her back for revision. On that day the 10th and after she got the last sachet for the medication, rash starts to appear on her buttocks, then her face, going to her hands, legs and finally all her body. we took her again to the hospital, and again CBC( WBC=24, HCT=29, NEUT%=49.74, LMPH%=41.94, MCV=70.70) and urine analysis(U-WBC=10-15, PH=7). This time the diagnosed was Henoch–Schönlein purpura, He described her Predisone 5mg for five days, asking us to come back for new blood test and urine analysis. Please i need to know if the diagnosis is correct, and what is this purpura and is it something scary? Thanks for your help
Without examining the rash it is difficult to diagnose Henoch–Schönlein purpura on net. Platelet counts must be done to distinguish it from other causes of purpura. This is basically a vasculitis or inflammation of blood vessels causing red patches. Treatment is symptomatic, the disease usually resolves after 2-3 weeks. Kidney function tests should be done at regular intervals to rule out kidney involvement (if kidney gets involved, yes it can become serious). Usually there is accompanying stomach and joint pain.
Fever with rash can also be due to viral fevers, dengue, typhoid, malaria, and H1N1 infection. It can be due to measles, chicken pox, or due to group A streptococcal infection. Hence all these should be ruled out. Please discuss with your child's treating doctor.
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