Roseola

Question 1

What is the typical history associated with roseola?

Answer 1

Sudden high fever lasting 3-5 days, followed by rash as fever subsides. Mild upper respiratory symptoms. Irritability in young children.

Question 2

What are the key physical examination findings in roseola?

Answer 2

High fever during febrile phase. Maculopapular rash appearing as fever subsides, starting on trunk and spreading to limbs. Possible mild lymphadenopathy.

Question 3

What investigations are necessary for diagnosing roseola?

Answer 3

Clinical diagnosis primarily. CBC may show leukopenia. PCR for human herpesvirus 6 (HHV-6) or HHV-7 if necessary.

Question 4

What are the non-pharmacological management strategies for roseola?

Answer 4

Ensure hydration. Maintain comfortable environment for fever management. Educate caregivers about benign nature and typical course of the illness.

Question 5

What are the pharmacological management options for roseola?

Answer 5

Symptomatic treatment: acetaminophen or ibuprofen for fever. No specific antiviral treatment.

Question 6

What are the red flags to look for in roseola patients?

Answer 6

Seizures (febrile seizures) during the febrile phase. Persistent high fever. Rash that doesn’t follow typical pattern or appears petechial.

Question 7

When should a patient with roseola be referred to a specialist?

Answer 7

Recurrent or complex febrile seizures. Immunocompromised patients with severe illness. Atypical presentation not following the usual course.

Question 8

What is one key piece of pathophysiology related to roseola?

Answer 8

Caused by human herpesvirus 6 (HHV-6) or HHV-7. Virus infects leukocytes and is transmitted via saliva. Initial high fever followed by immune-mediated rash.