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[Approach to the diagnosis of patients with febrile rash]

Nadia Fihmi1, Imane Alouani1, Abdelhafid Elmrahi1

  • 1Service de Dermatologie, CHU Mohammed VI d'Oujda, Faculté de Médecine et Pharmacie, Université Mohammed Premier d'Oujda, Maroc.

The Pan African Medical Journal
|October 6, 2017
PubMed

Insights

Febrile rash can be a diagnostic challenge. This case highlights sepsis from pelvic infection and gallbladder inflammation as a cause of a febrile macular rash, emphasizing skin as an early infection indicator.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Internal Medicine

Background:

  • Febrile rash presents a diagnostic challenge in primary care.
  • Cutaneous manifestations are common early signs of sepsis.
  • Early diagnosis of infectious exanthema is crucial to prevent complications.

Observation:

  • A case of febrile macular rash is presented.
  • The rash was secondary to sepsis from pelviperitonitis and acute cholecystitis.
  • Clinical history, physical examination, and paraclinical tests supported an infectious origin.

Findings:

  • The skin serves as a significant marker for systemic infections.
  • Exanthema, a common skin lesion in sepsis, results from microbial systemic effects.
  • Microbiological confirmation was not obtained in this specific case.

Implications:

  • Recognizing cutaneous signs of sepsis is vital for timely diagnosis.
  • Prompt identification of infectious causes of rash can prevent severe outcomes.
  • This case underscores the importance of considering sepsis in patients with febrile rash.
Keywords:
Exanthemaearly diagnosisfevertoxins

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