Purpuric-like rash as cutaneous eruptions in parvovirus B19 infection in Thai infant

Susheera Chatproedprai1, Pitirat Boonsuk, Siriwan Wananukul

  • 1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. susheerac@hotmail.com

Insights

A child

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Dermatology

Background:

  • Fever, rash, and diarrhea are common symptoms in children, necessitating a broad differential diagnosis.
  • Purpuric rashes can indicate serious underlying conditions, requiring prompt medical evaluation.

Observation:

  • An 8-month-old girl presented with fever, rash, and diarrhea.
  • Physical examination revealed distinct brownish-black, purpuric-like rashes on the face, arms, and legs, accompanied by lymphadenopathy.

Findings:

  • Laboratory tests indicated mild anemia and thrombocytopenia.
  • Polymerase chain reaction (PCR) confirmed the presence of parvovirus B19 DNA in the serum.

Implications:

  • Parvovirus B19 infection can present with diverse dermatological manifestations, including purpuric rashes.
  • Clinicians should consider parvovirus B19 in the differential diagnosis of febrile illnesses with purpuric eruptions in pediatric patients.
  • The patient experienced an uneventful recovery with supportive care, highlighting the importance of early identification and management.

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