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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Appearance 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 sepsis or malignancy....
The epidemiology of meningococcal disease is changing in the UK. It is now a rare cause of non-blanching rashes in children presenting to the emergency department. All paediatricians will have been faced with a child with a non-blanching rash. The dilemma is well rehearsed: should this child ...
Vanishing evidence of the non-blanching rash?Dorine M Borensztajn a bRianne Oostenbrink a
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 -...
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 ...
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 ...
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