8 yo female with rash after being diagnosed with strep, sib | Figure 1

Case Overview

8 yo female with rash after being diagnosed with strep, siblings with same rash but no strep

Contributing Cases

  1. 3 yo M. Woke up with this. Afebrile. Rash to face and limbs only. Pruritic++ . Siblings unaffected. No prodrome. No contacts. Fully immunised. Blood type 0+. Diagnosis and treatment?

  2. 60 yo M. Uti symptoms and rash yesterday, ua slight blood, strep positive, home with #Amoxicillin, back today rash worse and spreading, esp in groin (pic) no other area has vesicles. Sent to derm- any guesses?

  3. 6 mo old with raised rash x1 day; assessed at mother/baby wellness check home care visit. No pustules. Tiny red, raised spots with larger splotches (most noted on arm). Rash is all over body and extremities except face. Received flu, dTap, PIV immunizations 1wk prior. Infant with noted cough and congestion, lungs CTA, throat WNL. Afebrile. No change in detergents, bath soap, etc. Ate pumpkin for the first time about 3 hours before rash was noticed. Histamine reaction? Strep?

  4. 6 yr old with Rash on both legs x4 days with pruritus. EM? Tinea?

Trending Cases

  1. A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

  2. A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

  3. A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

  4. Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?