Differential Diagnosis for Bumps on Face in Kids after Fever
- Single most likely diagnosis
- Roseola: This is a common illness in children characterized by a high fever followed by a rash, which often appears as bumps on the face and body. The timing of the rash after the fever is a key diagnostic clue.
- Other Likely diagnoses
- Viral exanthem (non-specific viral rash): Many viral infections can cause a rash that appears as bumps on the face and body after a fever. These are often self-limiting and resolve without specific treatment.
- Impetigo: A bacterial skin infection that can cause bumps or sores on the face, especially after a fever or upper respiratory infection. It's contagious and may require antibiotic treatment.
- Molluscum contagiosum: A viral skin infection that causes small, pearly, or flesh-colored bumps. It's contagious and can spread through direct contact or contaminated items.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed)
- Meningococcemia: A severe bacterial infection that can cause a rash, fever, and potentially life-threatening complications. The rash can appear as small bumps or petechiae (small red or purple spots).
- Kawasaki disease: An acute febrile illness that can cause a rash, fever, and other symptoms. If left untreated, it can lead to serious cardiac complications.
- Rare diagnoses
- Scarlet fever: A bacterial illness that can cause a rash, fever, and other symptoms. The rash often appears as a sandpapery texture and can be accompanied by a "strawberry tongue."
- Erythema multiforme: A skin condition characterized by target-shaped lesions or bumps, often triggered by viral infections or medications. It can be a sign of an underlying condition or infection.