Differential Diagnosis for Fever and Rash
Single Most Likely Diagnosis
- Viral Exanthem: This is often the most common cause of fever and rash, especially in children. Viral exanthems are caused by a variety of viruses and can present with a range of symptoms including fever, rash, and malaise. The rash can vary in appearance and distribution.
Other Likely Diagnoses
- Bacterial Infections (e.g., Scarlet Fever, Impetigo): Bacterial infections can cause fever and rash, often with distinct characteristics such as the sandpapery rash of scarlet fever or the golden crusts of impetigo.
- Allergic Reactions: Allergic reactions to medications, foods, or environmental factors can cause a rash and may be accompanied by fever, especially if there is an underlying infection.
- Insect-Borne Illnesses (e.g., Lyme Disease, Dengue Fever): Depending on the geographical location and exposure history, insect-borne illnesses can present with fever and rash.
Do Not Miss Diagnoses
- Meningococcemia: A severe bacterial infection that can cause a rash (often petechial or purpuric) and fever. It is life-threatening and requires immediate medical attention.
- Rocky Mountain Spotted Fever (RMSF): A tick-borne illness that can present with fever, headache, and a characteristic rash. It is critical to diagnose and treat promptly to prevent serious complications.
- Toxic Shock Syndrome: A condition caused by bacterial toxins, often associated with fever, rash, and severe systemic symptoms. It is a medical emergency.
Rare Diagnoses
- Kawasaki Disease: An acute febrile illness of childhood characterized by fever, rash, and other specific criteria. It is rare but important to diagnose because of its potential to cause cardiac complications.
- Erythema Multiforme: A skin condition characterized by target lesions, often triggered by infections or medications. It can be associated with fever and is considered rare.
- Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: Severe skin and mucous membrane disorders, usually a reaction to medication or infection. They are rare but life-threatening conditions that require immediate medical attention.