Fever and Rash - Centrally Distributed Maculopapular Eruptions Flashcards
Name the condition with the ff rash:
Discrete lesions that become confluent as
rash spreads from hairline downward, usually
sparing palms and soles; lasts ≥3 days
Rubeola
Name the condition with the ff rash:
Eschar common at bite site; maculopapular
(rarely, vesicular and petechial) eruption on
proximal extremities, spreading to trunk
and face
Rickettsial spotted fevers
Name the condition with the ff rash:
Spreads from hairline downward, clearing
as it spreads; Forschheimer spots
Rubella
Name the condition with the ff rash:
Diffuse maculopapular eruption over trunk
and neck; resolves within 2
Exanthem Subitum/ Roseola/ Sixth Disease
Name the condition with the ff rash:
Bright-red “slapped-cheeks” appearance
followed by lacy reticular rash that waxes
and wanes over 3 weeks; rarely, papularpurpuric
“gloves-and-socks” syndrome on
hands and feet
Erythema infectiosum
fifth disease
Name the condition with the ff rash:
Diffuse maculopapular eruption (5% of
cases; 90% if ampicillin is given); urticaria,
petechiae in some cases; periorbital edema
(50%); palatal petechiae (25%)
Infectious
mononucleosis
Name the condition with the ff rash:
Intensely pruritic, bright-red macules and
papules, symmetric on trunk and extremities;
may become confluent
Exanthematous drug induced
eruption
Name the condition with the ff rash:
Nonspecific diffuse macules and papules;
less commonly, urticarial or vesicular oral or
genital ulcers
Primary HIV infection
Name the condition with the ff rash:
Maculopapular eruption appearing in
axillae, spreading to trunk and later to
extremities; usually spares face, palms, soles;
evolves from blanchable macules to confluent
eruption with petechiae; rash evanescent
in recrudescent typhus (Brill-Zinsser
disease)
Epidemic typhus
Name the condition with the ff rash:
Maculopapular eruption, usually sparing
palms, soles
Endemic (murine)
typhus
Name the condition with the ff rash:
Diffuse macular rash starting on trunk;
eschar at site of mite bite
Scrub typhus
Name the condition with the ff rash:
Maculopapular eruption involving the
trunk, extremities, and head or neck; rash in
20–50% of cases
West Nile fever
Name the condition with the ff rash:
disease Transient 2- to 5-mm erythematous papules
appearing at height of fever on trunk, proximal
extremities; lesions evanescent
Still’s disease
Name the condition with the ff rash:
Blotchy or annular erythematous macular
and papular rash (trypanid), primarily on
trunk; pruritus; chancre at site of tsetse fly
bite may precede rash by several weeks
African
trypanosomiasis
Name the condition with the ff rash:
Macular and papular erythema, often in
sun-exposed areas; discoid lupus lesions
(local atrophy, scale, pigmentary changes);
periungual telangiectasis; malar rash; vasculitis
sometimes causing urticaria, palpable
purpura; oral erosions in some cases
SLE
Name the condition with the ff rash:
Maculopapular eruption (40% of cases),
involves trunk and extremities; may be
petechial
Human monocytotropic
ehrlichiosisc
Name the condition with the ff rash:
Maculopapular eruption; conjunctivitis;
scleral hemorrhage in some cases
Leptospirosis
Name the condition with the ff rash:
Similar to erythema migrans of Lyme disease with several differences, including: multiple secondary lesions less likely; lesions tending to be smaller (average diameter, ~8 cm); central clearing more likely
Southern tick-associated
rash illness (STARI,
Master’s disease)
Name the condition with the ff rash:
Papule expanding to erythematous annular
lesion with central clearing (erythema
migrans; average diameter, 15 cm), sometimes
with concentric rings, sometimes
with indurated or vesicular center; multiple
secondary erythema migrans lesions in
some cases
Lyme disease
Name the condition with the ff rash:
Erythematous annular papules and plaques
occurring as polycyclic lesions in waves
over trunk, proximal extremities; evolving
and resolving within hours
Erythema marginatum
rheumatic fever
Name the condition with the ff rash:
Central rash at end of febrile episode;
petechiae in some cases
Relapsing fever
Name the condition with the ff rash:
Eschar at bite site; then blotchy violaceous
or red-brown rash involving trunk and
extremities
Rat-bite fever (sodoku)
Name the condition with the ff rash:
Rash in 50% of cases; initially diffuse flushing;
midway through illness, onset of
maculopapular rash, which begins on trunk
and spreads centrifugally to extremities and
face; pruritus, hyperesthesia in some cases;
after defervescence, petechiae on extremities
in some cases
Dengue fever
Name the condition with the ff rash:
Transient, blanchable erythematous macules
and papules, 2–4 mm, usually on trunk
rose spots
Typhoid fever
Name the etiologic agent of the ff disease:
Rubeola (measles, first
disease
Paramyxovirus
Rubella (German measles,
third disease)
Togavirus
Erythema infectiosum
fifth disease
Human parvovirus
B19
Exanthem subitum
roseola, sixth disease
Human herpesvirus
6
Primary HIV infection
HIV
Infectious
mononucleosis
Epstein-Barr virus
Exanthematous druginduced
eruption
antibiotics,
anticonvulsants,
diuretics, etc.
Epidemic typhus
Rickettsia prowazekii
Endemic (murine)
typhus
Rickettsia typhi
Scrub typhus
Orientia tsutsugamushi
Human monocytotropic
ehrlichiosisc
Ehrlichia chaffeensis
Leptospirosis
Leptospira interrogans
Lyme disease
Borrelia burgdorferi
Southern tick-associated
rash illness (STARI,
Master’s disease)
Unknown (possibly
Borrelia lonestari or
other Borrelia spirochetes)
Typhoid fever
Salmonella typhi
Dengue fever
Dengue virus
(4 serotypes;
flaviviruses)
Rat-bite fever (sodoku)
Spirillum minus
Relapsing fever
Borrelia species
Erythema marginatum
rheumatic fever
Group A
Streptococcus
Systemic lupus
erythematosus (SLE)
Systemic lupus
erythematosus (SLE)
Still’s disease
Autoimmune disease
African
trypanosomiasis
Trypanosoma brucei
rhodesiense/
gambiense
Arcanobacterial
pharyngitis
Arcanobacterium
(Corynebacterium)
haemolyticum
West Nile fever
West Nile virus
