However, an infant presenting with a fever and rash from bronchiolitis illness can sometimes present a diagnostic challenge to the paediatric team due to the fear of meningococcal disease. In a study of 233 infants and children presenting with a non-blanching rash, only 11% of the children had...
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Vanishing evidence of the non-blanching rash?Dorine M Borensztajn a bRianne Oostenbrink a
non-blanching rashAppearance of non-blanching rash in a child is a common reason to seek medical attention. However, most children with non-blanching rash are well from benign self-limiting illness. Only minority of these children have a serious underlying cause such as invasive meningococcal ...
The child with a non-blanching rash: how likely is meningo- coccal disease? Arch Dis Child 2001; 85(3): 218-22.↵ Wells LC, Smith JC, Weston VC, Collier J, Rutter N. The child with a non-blanching rash: how likely is meningococcal disease? Arch Dis Child 2001 ; 85 : 218 -...
Paediatricians are concerned that children who present with a non-blanching rash may have meningococcal disease (MCD). An algorithm to help identify which children with a non-blanching rash have MCD has been proposed in recent NICE guidance....
figure 1. florid erythematous maculopapular blanching rash over anterior chest, with areas of confluence. laboratory findings include leukocytosis (white blood cells, 16 900/渭l), elevated inflammatory markers (c-reactive protein, 109 g/l; erythrocyte sedimentation rate, 27 mm/h), elevated ...
Testing the limits of pragmatism in children with fever and non-blanching rashdoi:10.1016/S1473-3099(20)30936-1Edward SnelsonThomas WaterfieldThe Lancet Infectious Diseases
Validating BSAC guidance for the management of children with fever and non-blanching rashdoi:10.1016/S1473-3099(21)00623-XThomas WaterfieldElsevier BVThe Lancet Infectious Diseases
BACKGROUND: Paediatricians are concerned that children who present with a non-blanching rash (NBR) may have meningococcal disease (MCD). Two algorithms have been devised to help identify which children with an NBR have MCD. AIM: To evaluate the NBR algorithms' ability to identify children with ...