Children with fever and petechiae or Purpura
Abstract
The appearance of a petechial rash in a patient with fever is related to multiple diseases of varying severity (Table 1). The most common etiology is viral, however, in a small proportion of patients (2% of febrile patients with petechiae; 7-11% of febrile patients admitted with petechiae) the causal agent is a meningococcus and petechiae are the first sign of bacterial vasculitis and disseminated intravascular coagulation typical of sepsis. A review of the literature of the last three years of the main medical publications is carried out and through critical reading an adaptation to the Latin American reality is presented.
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References
2. Guidelines for the Clinical Diagnosis and Treatment of Dengue, Chikungunya, and Zika. Washington, D.C.: Pan American Health Organization; 2022.
3. Zammarchi L, Stella G, Mantella A, Bartolozzi D, Tappe D, Günther S, et al. Zika virus infections imported to Italy: clinical, immunological and virological findings, and public health implications. J Clin Virol. 2015;63:32–5.
4. Tappe D, Rissland J, Gabriel M, et al. . First case of laboratory-confirmed Zika virus infection imported into Europe, November 2013. Euro Surveill 2014;19:pii=20685.
5. GourinatA-C, O’ConnorO, Calvez E, et al. Detection of Zika virus in Urine. Emerg Infect Dis 2015;21:84–86.
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