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Chapter 19 - Rash, Tachycardia and Irritability

Published online by Cambridge University Press:  17 December 2021

By
Shelley Riphagen
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

The parents of a 4-week-old baby brought her in to the A&E after an unsettled night of high-pitched crying and high temperature with an inability to settle her and a refusal to feed. They had noted a progressive rash from the day before involving redness of her hands and feet and a fine, red papular rash over her body. She had had coryzal symptoms and a low-grade temperature the whole week, but had been otherwise well, as had her 2-year-old sibling.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 99 - 104
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Gawronski, O, Parshuram, C, Cecchetti, C, et al. Qualitative study exploring factors influencing escalation of care of deteriorating children in a children’s hospital. BMJ Paediatr Open 2018:2(1): e000241.CrossRefGoogle ScholarPubMed
Grosbee, J. Handoffs and communication. The underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynaecol 2010;53(3):545–58.Google Scholar
Olijve, L, Jennings, L, Walls, T. Human parechovirus: an increasingly recognized cause of sepsis-like illness in young infants. Clin Microbiol Rev 2018;31(1):e00047–17.CrossRefGoogle ScholarPubMed

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