Recurrent fever and rash

Katherine Cashen1, Deepak Kamat

  • 1Carman and Adams Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, USA.

Clinical Pediatrics
|March 7, 2009
PubMed

Insights

Periodic fever syndromes are rare in children. This case highlights the importance of considering tumor necrosis factor receptor-1 alpha periodic syndrome in children with recurrent fevers and associated symptoms.

Area of Science:

  • Pediatric Rheumatology
  • Immunology

Background:

  • Periodic fever syndromes (PFS) are uncommon in children.
  • A broad differential diagnosis exists for recurrent fevers in pediatric patients.
  • Associated symptoms like rash can aid in differential diagnosis.

Observation:

  • A 4-year-old boy presented with recurrent fever, vomiting, abdominal pain, myalgias, and rash.
  • The patient required emergency department evaluation for these symptoms.
  • Atypical presentations necessitate thorough diagnostic evaluation.

Findings:

  • The case details the hospital course of a child with recurrent fever.
  • The article reviews tumor necrosis factor receptor-1 alpha periodic syndrome.
  • This syndrome is a rare cause of periodic fever in children.

Implications:

  • Early recognition and diagnosis of periodic fever syndromes are crucial.
  • Understanding atypical presentations improves diagnostic accuracy.
  • Proper management of tumor necrosis factor receptor-1 alpha periodic syndrome can prevent complications.

Related Concept Videos

Patterns of Fever01:26

Patterns of Fever

Before understanding the types and patterns of fever, it is essential to know its phases.
Types of Fever01:25

Types of Fever

Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.