Case Study 2A five-year-old female who lived in Missouri was taken to the emergency department (ED) in June. She had a three-day history of intermittent headache, nausea, and a sore throat. Her temperature was 105o F (40.6o C), and she had a maculopapular rash on her wrists, hands, legs and the soles of her feet. Laboratory tests were performed. Results of laboratory studies include:8.8 X 109/mL W

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 176 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
Need multiple seats for your university or lab? Get a quote
The page below is a sample from the LabCE course Tickborne Diseases. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Tickborne Diseases (online CE course)

Case Study 2
A five-year-old female who lived in Missouri was taken to the emergency department (ED) in June. She had a three-day history of intermittent headache, nausea, and a sore throat. Her temperature was 105o F (40.6o C), and she had a maculopapular rash on her wrists, hands, legs and the soles of her feet. Laboratory tests were performed. Results of laboratory studies include:
  • 8.8 X 109/mL WBC
  • 5% band forms
  • 70% neutrophils
  • No morulae or spirochetes observed
  • 50 x 109/mL platelets
  • Mild elevation in liver transaminases
  • Hyponatremia
Which of the following should be considered in the differential diagnosis of a child with a high fever and a rash?

Please select the single best answer

Rash displayed on child's hand and wrist (37).