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Roseola Guide

Rosa Cabrera RN

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ask: My two year old son has a rash and fever concurrently....

By Anonymous
 
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Hi,
My two year old son developed a rash and fever over two days ago. They are calling it Roseola, but the rash appeared at the same time as the fever, not after the fever broke. The rash is from head to toe and is raised in some areas, while flat in others. His eyes are bloodshot and his fever persists at 100-103 degrees (around 100 degrees after Advil). He is also experiencing episodes of emesis periodically along with diarrhea. He is definitely more tired than usual, but will eat popsicles and drink fluids. Even though it is “classic” for the rash to appear after the fever has gone away, can they be concurrent? I am concerned about Kawasaki's Disease. Thanks for any information you can provide me! Have a great evening.

Amanda

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Rosa Cabrera RN

Hi Amanda,

Welcome to EmpowHer! You have every reason to be concerned about your son possibly having Kawasaki's Disease. In Roseola, children get a high fever, then the rash will break once the fever is either gone or decreased. Conjunctivitis, vomiting, and diarrhea are NOT symptoms of Roseola, unless your son was given antibiotics in which case he could have diarrhea as a side effect.

How long has he had this fever for? If it's been longer than 3 days-- take him back to his doctor or the ER. I had a similar situation with my 1 year old and it turned out to be Roseola-- in her case, the rash lasted an entire 10 days after the fever broke. So, what I'm trying to say is: go with your gut! If you feel like this may not be Roseola, take him back--let them run proper tests. A simple blood test with elevated white blood cells can be an indication of Kawasaki's. In Roseola, white cells remain at their normal levels.

Please keep us posted,

Rosa

October 13, 2011 - 5:52am
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