PEDIATRICSTREATMENT
Supportive
COMPLICATIONS
■ Noncongenital infection may lead to arthritis or arthralgia (particularly in
young women).
■ Congenital infection is a major concern, and can lead to fetal viremia and
major birth defects.
ROSEOLAINFANTUM(EXANTHEMSUBITUM)
■ Viral infection caused by human herpes virus (HHV-6)
■ Peak incidence in spring and fall
■ Affected children typically 6 months to 3 years of age
■ Transmitted by respiratory droplets
SYMPTOMS/EXAM
■ High fever lasting 3–4 days (increased risk of febrile seizure)
■ Exanthem: Pale pink macules, typically located on the neck; rash usually
appears as the fever resolves, with rash persisting 1–2 days (see Figure 5.10)
DIFFERENTIAL
Can mimic other very serious infections, including pneumococcal sepsis or
meningitis
DIAGNOSIS
Clinical diagnosis
TREATMENT
Supportive care
FIGURE 5.9. Rubella (German measles). (See also color insert.)
(Reproduced, with permission, from Shah BR, Lucchesi M. Atlas of Pediatric Emergency
Medicine. New York: McGraw-Hill, 2006:137.)
Roseola Infantum: Onset of
rash with resolution of fever