fever and rash in common problem in tropics.Rash in fever may be problematic as well as it indicate toward certain diagnosis.

1. FEVER WITH RASH
Dr Bhupendra Shah
Senior Resident
B.P Koirala institute of health sciences

2. ESCHAR not Scab

3. Ricketssia: ankle and wrist

4. Candidiasis

5. Infective endocarditis

6. Rose spot

8. Lupus Vulgaris

9. Fever with rash
Benign to life threatening

10. Fever with rash
Infective to non infective

11. Fever with rash
Simple to most confusing

12. Then what is required?
 History
 Physical examination
 Lab data

13. Mr A ,35 year old male
presented with fever:3 days

14. Now how to approach?

15. History:
 Ag e of patient
 Temporal pattern with fever and rash.
 Recent travel
 Animal exposure
 Medication history
 Contact history
 Immunocompromised status

16. Is it systemic infection or
dermatological problem?

17. Blanching?

18. Maculopapular rashes
Centrally predominance Peripheral predominance
 Rubella
 Erythema infectiosum
 Roseola infantum
 Drug reactions
 Erythema multiforme
 Dengue
 Rickettsia
 Meningococcemia

19. Erythema multiforme

20. Petechial rash

21. Meningococcemia:WATCH puppuric
lesion in extremities

23. Diffuse erythema with
desquamation
 Scarlet fever
 Toxic shock syndrome

24. Vesiculobullous- Pustular lesion
 Varicella zoster

25. Herpes Zooster

26. Malar rash

27. What you learn?
 History
 Recognise the lesion
 Caution regarding life threatening condition.
 Don’t panic.

28. Thank you