I HAVE PT 4 YRS OLD WITH PROLONGRD FEVER FOR 1 MO WITH NO FOCUS.FEVER IS INTERMITTENT AND ASSOCIATED WITH SKIN RASH ERYTHTEMATOUS , NON-PRURITIC, MACULAR IN SHAPE WHICH COMES WITH FEVER AND DISAPPEAR AFTER RESOLUTION OF FEVER[ USUALLY FEVER IS MORNING AND NIGHT] .CBC, CRP, WIDAL, BRUCELLA,BLOOD FILM,URINE ANALYSIS CHEST X-RAY WERE DONE BUT IRRELEVANT
How are you? FOU usually warrants further tests to rule out other conditions present. This could be a diagnosis of inclusion especially if the patient is 4 years old. A referral to an infectious specialist may also help as well as additional tests may be requested. Rash associated with fever may be attributed to viral exanthems. A culture of the discharge from the skin lesions may also help identify the organisms responsible. Take care and do keep us posted.
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