{"id":8148,"date":"2020-04-27T09:03:20","date_gmt":"2020-04-27T12:03:20","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/fiebre-y-erupcion\/"},"modified":"2020-04-27T14:38:49","modified_gmt":"2020-04-27T17:38:49","slug":"fever-and-rash","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/fiebre-y-erupcion\/","title":{"rendered":"Fever and rash"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/fiebre-y-erupcion\/#Agudo-presentacion-de-un-paciente-enfermo\" >Acute presentation of a sick patient<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/fiebre-y-erupcion\/#Fiebre-y-erupcion-localizada\" >Fever and localized rash<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/fiebre-y-erupcion\/#Mordedura-de-arana-Katipo\" >Katipo spider bite<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/fiebre-y-erupcion\/#Fiebre-y-erupcion-generalizada\" >Fever and generalized rash.<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Agudo-presentacion-de-un-paciente-enfermo\"><\/span>\n<span class=\"term\" data-term-id=\"349\">Acute<\/span> presentation of a sick patient<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1176\">Fever<\/span> more commonly indicates <span class=\"term\" data-term-id=\"937\">bacterial<\/span> or viral <span class=\"term\" data-term-id=\"145\">infection<\/span>. If there is not <span class=\"term\" data-term-id=\"380\">systemic<\/span> <span class=\"term\" data-term-id=\"263\"><span class=\"term\" data-term-id=\"1165\">septicemia<\/span><\/span>, <span class=\"term\" data-term-id=\"324\">located<\/span> The rashes associated with the infection tend to cause fewer systemic symptoms than <span class=\"term\" data-term-id=\"308\">generalized<\/span> rashes associated with infection. <span class=\"term\" data-term-id=\"1018\">Mucous membrane<\/span> Participation is common. There are some self-trebles<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> disorders that mimic infection due to <span class=\"term\" data-term-id=\"441\">neutrophils<\/span> activation, the <span class=\"term\" data-term-id=\"443\">neutrophilic<\/span> <span class=\"term\" data-term-id=\"329\">skin disease<\/span>.<\/p>\n<p> Consider performing the following tests:<\/p>\n<ul>\n<li>Swabs for bacteria and virals <span class=\"term\" data-term-id=\"837\">culture<\/span> if you blister, <span class=\"term\" data-term-id=\"536\">erosions<\/span>, <span class=\"term\" data-term-id=\"1016\">pustules<\/span> or scabs<\/li>\n<li>Blood culture if high fever<\/li>\n<li>CBC <span class=\"term\" data-term-id=\"947\">CRP<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"604\">Coagulation<\/span> screen yes <span class=\"term\" data-term-id=\"250\">purple<\/span> or very sick patient<\/li>\n<li>\n<span class=\"term\" data-term-id=\"942\">PCR<\/span> and <span class=\"term\" data-term-id=\"621\">serology<\/span> for specific <span class=\"term\" data-term-id=\"935\">bacteria<\/span> or virus<\/li>\n<li>Echocardiography yes <span class=\"term\" data-term-id=\"1164\">septic<\/span> Suspicious Plungers<\/li>\n<li>\n<p>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> of fresh skin lesions for <span class=\"term\" data-term-id=\"128\">histology<\/span>, culture<\/li>\n<\/ul>\n<p>The treatment depends on the cause. Consider referral to the emergency department if you suspect a serious infection or if the patient is not feeling well.  <\/p>\n<p><span style=\"color: #3b76a0; font-family: Montserrat, 'Open Sans', Helvetica, Helvetica, Arial, sans-serif; font-size: 24px; font-weight: bold; line-height: 1.4;\"><span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span><\/span><\/p>\n<p>To consider:<\/p>\n<ul>\n<li>Is he <span class=\"term\" data-term-id=\"255\">eruption<\/span> localized or generalized? What is your <span class=\"term\" data-term-id=\"69\">distribution<\/span>? Are the mucosa sites involved?<\/li>\n<li>The severity of symptoms<\/li>\n<li>Predominant <span class=\"term\" data-term-id=\"187\">morphology<\/span>: is \/ is there <span class=\"term\" data-term-id=\"90\">erythema<\/span>, blisters \/ erosions, pustules \/ crusts, purple \/ black areas? <\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Fiebre-y-erupcion-localizada\"><\/span>Fever and localized rash<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Painful, red and hot skin.<\/p>\n<ul>\n<li>\n<p>Cellulitis<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"292\">Unilateral<\/span> swelling\/<span class=\"term\" data-term-id=\"143\">hardening<\/span>\n<\/li>\n<li>It stretches for hours to days      <\/li>\n<li>There may be an associated skin disease or injury.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cellulitis-012__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-7126452-3744130' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cellulitis-012__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-7126452.jpg'>\n<\/div>\n<p class=\"p-small\">Cellulitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Erysipelas <\/p>\n<ul>\n<li>Large one-sided <span class=\"term\" data-term-id=\"368\">plates<\/span> with sharp and staggered edge<\/li>\n<li>Large blisters<\/li>\n<li>Face, lower legs or anywhere<\/li>\n<li>It stretches for hours to days<\/li>\n<li>May have associated <span class=\"term\" data-term-id=\"767\"><span class=\"term\" data-term-id=\"1541\">lymphangitis<\/span><\/span>  (red stripe to local <span class=\"term\" data-term-id=\"1775\">lymph nodes<\/span>)<\/li>\n<li>Culture <em>Streptococcus pyogenes<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-2-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2971758-3590047' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-2-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2971758.jpg'>\n<\/div>\n<p class=\"p-small\">Erysipelas<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Erythema nodosum <\/p>\n<ul>\n<li>Offer <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> <span class=\"term\" data-term-id=\"367\">nodules<\/span>\n<\/li>\n<li>Usually on the legs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-3-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-8384235-2068396' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-3-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-8384235.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"213\">Panniculitis<\/span> - other <\/p>\n<ul>\n<li>Many causes<\/li>\n<li>Often associated with the underlying disease<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-4-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3936720-7690785' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-4-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3936720.jpg'>\n<\/div>\n<p class=\"p-small\">Panniculitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Prominent blisters \/ erosions<\/p>\n<ul>\n<li>\n<p>Hand, foot and mouth <\/p>\n<ul>\n<li>Mainly young children<\/li>\n<li>\n<span class=\"term\" data-term-id=\"279\">Symmetrical<\/span> <span class=\"term\" data-term-id=\"1028\">vesicles<\/span> mainly hands, feet and mouth<\/li>\n<li>May extend to extremities and buttocks<\/li>\n<li>Culture \/ PCR enterovirus<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-18-blistering3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildewov0-7920948-3037174' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-18-blistering3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEwOV0-7920948.jpg'>\n<\/div>\n<p class=\"p-small\">HFM in an adult<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Herpes Simplex<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"325\">Monomorphic<\/span>, <span class=\"term\" data-term-id=\"291\">umbilical<\/span> vesicles, erosions, <span class=\"term\" data-term-id=\"45\">Cortex<\/span>\n<\/li>\n<li>Culture \/ PCR <em>Herpes Simplex<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='herpes-simplex-006__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5108898-9946601' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/herpes-simplex-006__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5108898.jpg'>\n<\/div>\n<p class=\"p-small\">Herpes Simplex<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Herpes infection <\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"56\">Dermatomic<\/span><\/li>\n<li>Painful<\/li>\n<li>Monomorphic (early) vesicles, erosions, crusts and <span class=\"term\" data-term-id=\"1278\">ulceration<\/span> (late)<\/li>\n<li>Culture \/ PCR <em>Herpes chickenpox-zoster<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-6-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2107069-7513990' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-6-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2107069.jpg'>\n<\/div>\n<p class=\"p-small\">Herpes infection<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Impetigo <\/p>\n<ul>\n<li>Crusted plaques, vesicles, <span class=\"term\" data-term-id=\"499\">bullas<\/span>pustules<\/li>\n<li>Culture <em>Staphylococcus aureus<\/em> +\/- <em>Streptococcus pyogenes<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-136-trunk__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-5153534-4216911' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-136-trunk__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-5153534.jpg'>\n<\/div>\n<p class=\"p-small\">Impetigo<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Pustules<\/p>\n<ul>\n<li>\n<p>Folliculitis \/ furunculosis <\/p>\n<ul>\n<li>based on <span class=\"term\" data-term-id=\"122\">hair<\/span> <span class=\"term\" data-term-id=\"1300\">follicle<\/span>\n<\/li>\n<li>Fever without multiple boils or secondary cellulite<\/li>\n<li>Culture <em>Staphylococcus aureus<\/em>, <em>Pseudomonas<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-7-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3568486-5355229' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-7-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3568486.jpg'>\n<\/div>\n<p class=\"p-small\">Folliculitis \/ furunculosis <\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Neutrophils <span class=\"term\" data-term-id=\"60\">skin disease<\/span> of <span class=\"term\" data-term-id=\"71\">dorsal<\/span> hands <\/p>\n<ul>\n<li>Dorsal hands<\/li>\n<li>Negative culture<\/li>\n<li>Confirmatory biopsy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-8-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7158962-6514145' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-8-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-7158962.jpg'>\n<\/div>\n<p class=\"p-small\">Neutrophilic dermatosis of the dorsal hands.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Purple \/ black areas<\/p>\n<ul>\n<li>\n<p>Ecthyma <\/p>\n<ul>\n<li>Not so bad<\/li>\n<li><span class=\"term\" data-term-id=\"92\">It&#039;s expensive<\/span><\/li>\n<li>Small deep <span class=\"term\" data-term-id=\"1279\">ulcers<\/span>\n<\/li>\n<li>Culture <em>Staphylococcus aureus<\/em> +\/- <em>Streptococcus pyogenes<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-9-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1846229-7856531' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-9-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1846229.jpg'>\n<\/div>\n<p class=\"p-small\">Ecthyma<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Meningococcal disease <\/p>\n<ul>\n<li>Rapid state deterioration<\/li>\n<li>\n<p>Limb purpura and, more generally, limb purpura (fulminant purpura due to <span class=\"term\" data-term-id=\"67\">disseminated<\/span> <span class=\"term\" data-term-id=\"1162\">intravascular<\/span> coagulation)<\/li>\n<li>Neck stiffness<\/li>\n<li>Light sensitive eyes.<\/li>\n<li>Got<\/li>\n<li>Blood culture \/ PCR <em>Neisseria meningitidis<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-10-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8516382-3887067' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-10-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8516382.jpg'>\n<\/div>\n<p class=\"p-small\">Withering purple<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1411\">Necrotizing<\/span> spider bite <\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"814\">Endemic<\/span> poisonous spiders<\/li>\n<li>The spider must be observed to make this diagnosis<\/li>\n<li>Central punctum with purple \/<span class=\"term\" data-term-id=\"403\">necrosis<\/span>, surrounding erythema and induration<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Mordedura-de-arana-Katipo\"><\/span>Katipo spider bite<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-11-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2237276-5167527' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-11-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2237276.jpg'>\n<\/div>\n<p class=\"p-small\">Necrotizing Spider Bite<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Necrotizing fasciitis <\/p>\n<ul>\n<li>Very ill; septic shock<\/li>\n<li>Rapid spread of cellulite with purpura \/ blisters.<\/li>\n<li>Fournier <span class=\"term\" data-term-id=\"1286\">gangrene<\/span> is necrotizing fasciitis that affects the genitals<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1206\">Anesthetic<\/span> areas in early lesions        <\/li>\n<li>Essential bacterial culture<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-12-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3405259-9662227' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-12-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3405259.jpg'>\n<\/div>\n<p class=\"p-small\">Fournier&#039;s gangrene<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"753\">Vascular<\/span> <span class=\"term\" data-term-id=\"969\">occlusion<\/span><\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1507\">Cholesterol<\/span> embolism <\/p>\n<ul>\n<li>Recent vascular \/ cardiac procedure<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-13-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7230367-7117890' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-13-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7230367.jpg'>\n<\/div>\n<p class=\"p-small\">Cholesterol emboli<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\n<p>Septic emboli <\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"547\">Endocarditis<\/span>, <span class=\"term\" data-term-id=\"1578\">arthritis<\/span>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-14-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1144470-4782897' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-14-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1144470.jpg'>\n<\/div>\n<p class=\"p-small\">Septic emboli<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\n<p>Calciphylaxis<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"896\">Renal<\/span> <span class=\"term\" data-term-id=\"1791\">dialysis<\/span>diabetes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-15-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5920299-9656216' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-15-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5920299.jpg'>\n<\/div>\n<p class=\"p-small\">Calciphylaxis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Fiebre-y-erupcion-generalizada\"><\/span>Fever and generalized rash.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Redness<\/p>\n<ul>\n<li>\n<p>Drug <span class=\"term\" data-term-id=\"943\">hypersensitivity<\/span> <span class=\"term\" data-term-id=\"350\">syndrome<\/span> <\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"377\">Morbid<\/span> (<span class=\"term\" data-term-id=\"938\">maculopapular<\/span>) <span class=\"term\" data-term-id=\"704\">eruption<\/span> or other rash  <\/li>\n<li>Drugs within 8 weeks of onset<\/li>\n<li>Other affected organs (kidney, <span class=\"term\" data-term-id=\"1105\">hepatic<\/span>respiratory <span class=\"term\" data-term-id=\"1522\">hematological<\/span>)<\/li>\n<li>Can have <span class=\"term\" data-term-id=\"83\">eosinophilia<\/span>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-16-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-5308250-9027521' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-16-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-5308250.jpg'>\n<\/div>\n<p class=\"p-small\">Drug hypersensitivity syndrome<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Infectious erythema \/ fifth disease<\/p>\n<ul>\n<li>Child&gt; adult<\/li>\n<li>Red-cheeked appearance on the cheek<\/li>\n<li>Recurrent reticulated rash on the arms.<\/li>\n<li>Serology \/ PCR Parvovirus B19<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-17-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3778841-3038915' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-17-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3778841.jpg'>\n<\/div>\n<p class=\"p-small\">Infectious erythema \/ fifth disease<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>Marginal erythema\n<ul>\n<li>Rheumatic fever<\/li>\n<li>Evanescent <span class=\"term\" data-term-id=\"9\">cancel<\/span>\/ \/<span class=\"term\" data-term-id=\"1620\">polycyclic<\/span> raised edge rash with temperature spike<\/li>\n<li>Evidence of streptococcal infection.\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-18-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2283608-2814069' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-18-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2283608.jpg'>\n<\/div>\n<p class=\"p-small\">Marginal erythema <\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"91\">Erythroderma<\/span> (red rash affecting&gt; 90% of body surface) <\/p>\n<ul>\n<li>Preexisting <span class=\"term\" data-term-id=\"922\">atopic<\/span> <span class=\"term\" data-term-id=\"491\">eczema<\/span>psoriasis\n<\/li>\n<li>New start: drug eruption, <span class=\"term\" data-term-id=\"234\">pityriasis<\/span> rubra pilaris, <span class=\"term\" data-term-id=\"976\">lymphoma<\/span>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-19-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4686638-2806675' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-19-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4686638.jpg'>\n<\/div>\n<p class=\"p-small\">Erythroderma<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Kawasaki&#039;s disease <\/p>\n<ul>\n<li>Little boy with red skin and mucous surfaces<\/li>\n<li>Swollen hands and feet.<\/li>\n<li>Peeling is a late feature<\/li>\n<li><span class=\"term\" data-term-id=\"503\">Lymphadenopathy<\/span><\/li>\n<li>Cardiac artery aneurysms<\/li>\n<li>Another organ compromise leads to a variety of signs<\/li>\n<li>No specific diagnostic test<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-20-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildizxq-1062446-9383062' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-20-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIzXQ-1062446.jpg'>\n<\/div>\n<p class=\"p-small\">Kawasaki&#039;s disease<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Measles <\/p>\n<ul>\n<li>Red eyes, red tongue, Koplik spots<\/li>\n<li>Coryza cough<\/li>\n<li>The rash has a bronze hue<\/li>\n<li>Serology \/ RT-PCR measles<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-21-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildizxq-5246426-8572945' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-21-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIzXQ-5246426.jpg'>\n<\/div>\n<p class=\"p-small\">Measles<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Unspecific <span class=\"term\" data-term-id=\"93\">exanthema<\/span> <\/p>\n<ul>\n<li>Upper respiratory symptoms<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-22-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4390512-9650248' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-22-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4390512.jpg'>\n<\/div>\n<p class=\"p-small\">Nonspecific rash <\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Roseola \/ erythema subitum<\/p>\n<ul>\n<li>Childish<\/li>\n<li>High fever + upper respiratory symptoms<\/li>\n<li>The rash is brief<\/li>\n<li>Serology for herpes virus 6 and 7 is generally not available<\/li>\n<\/ul>\n<\/li>\n<li>\n<p>Scarlet fever (<em>Streptococcus pyogenes<\/em>) <\/p>\n<ul>\n<li>Strawberry tongue<\/li>\n<li>Scarlet fever rash: tiny red <span class=\"term\" data-term-id=\"343\">macules<\/span> or rough <span class=\"term\" data-term-id=\"366\">papules<\/span>\n<\/li>\n<li>Swollen and then peeled hands<\/li>\n<li>Evidence of streptococcal infection.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-23-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg0xq-7193142-2462665' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-23-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg0XQ-7193142.jpg'>\n<\/div>\n<p class=\"p-small\">Scarlet fever<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>Rare infections\n<ul>\n<li>\n<p>Arbovirus (recent trip)<\/li>\n<li>\n<p>Rubella (not vaccinated)<\/li>\n<li>Typhoid fever<\/li>\n<\/ul>\n<\/li>\n<li>Rare inflammatory disorders\n<ul>\n<li>Various autoinflammatory syndromes.\n<\/li>\n<li>Often, <span class=\"term\" data-term-id=\"558\">genetic<\/span> markers present <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Blisters \/ erosions<\/p>\n<ul>\n<li>\n<p>Acute <span class=\"term\" data-term-id=\"1050\">febrile<\/span> neutrophilic dermatosis <\/p>\n<ul>\n<li>Neck, limbs, upper trunk<\/li>\n<li>Pseudovesicular plates, blisters, pustules, purpura, or ulceration.<\/li>\n<li>Disease associations: rheumatoid arthritis, inflammatory bowel disease, <span class=\"term\" data-term-id=\"691\">autoimmune<\/span> arthritis, <span class=\"term\" data-term-id=\"1896\">myeloid<\/span> <span class=\"term\" data-term-id=\"73\"><span class=\"term\" data-term-id=\"1828\">dysplasia<\/span><\/span>\n<\/li>\n<li>Suggestive biopsy (<span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophils<\/span><\/span>)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-24-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6758020-9030994' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-24-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6758020.jpg'>\n<\/div>\n<p class=\"p-small\">Acute febrile neutrophilic dermatosis.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"498\">Bullous<\/span> drug rash <\/p>\n<ul>\n<li>Blistering form of drug hypersensitivity syndrome <\/li>\n<li>Drugs within 8 weeks of onset<\/li>\n<li>Other affected organs<\/li>\n<li>You may have eosinophilia<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-25-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-9228169-7246628' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-25-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-9228169.jpg'>\n<\/div>\n<p class=\"p-small\">Bullous drug eruption<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Enterovirus infection<\/p>\n<ul>\n<li>Mild systemic symptoms<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1029\">Vesicular<\/span> eruption<\/li>\n<li>Often followed by shedding of nails<\/li>\n<li>PCR \/ serology enterovirus<\/li>\n<\/ul>\n<\/li>\n<li>\n<p>Erythema multiforme <\/p>\n<ul>\n<li>Mainly hands, feet, face<\/li>\n<li>Target injuries<\/li>\n<li>Often preceded by herpes simplex, orf, vaccination, drugs, etc.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-26-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-6548239-5133811' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-26-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-6548239.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema multiforme<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Mycoplasma <\/p>\n<ul>\n<li>\n<p>Erythema multiforme or rash similar to Stevens Johnson syndrome<\/li>\n<li>You may or may not have pneumonia<\/li>\n<li>Serology <em>Mycoplasma pneumoniae<\/em> <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-27-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1997380-1928500' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-27-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1997380.jpg'>\n<\/div>\n<p class=\"p-small\">Mycoplasma<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Staphylococcal scalded skin<\/p>\n<ul>\n<li>Kidney or diabetic or childhood failure<\/li>\n<li>The discomfort is slight.<\/li>\n<li>Develops from localized bullous impetigo\n<\/li>\n<li>Culture <em>Staphylococcus aureus<\/em>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-28-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-9417908-5265889' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-28-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-9417908.jpg'>\n<\/div>\n<p class=\"p-small\">Staphylococcal scalded skin<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Stevens-Johnson \/ <span class=\"term\" data-term-id=\"1159\">toxic<\/span> <span class=\"term\" data-term-id=\"846\">epidermal<\/span> necrolysis <\/p>\n<ul>\n<li>Very bad patient<\/li>\n<li>Almost always drug induced<\/li>\n<li>Red skin comes out on sheets<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-29-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9067044-8631107' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-29-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9067044.jpg'>\n<\/div>\n<p class=\"p-small\">Stevens-Johnson \/ Toxic Epidermal Necrolysis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Chicken pox (chicken pox) <\/p>\n<ul>\n<li>More itching than pain<\/li>\n<li>Mainly scalp, face, trunk<\/li>\n<li>Culture \/ PCR <em>Herpes chickenpox zoster<\/em> <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-30-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7337417-8663526' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-30-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7337417.jpg'>\n<\/div>\n<p class=\"p-small\">Chickenpox<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Pustules \/ Scabs<\/p>\n<p> May involve mucous surfaces<\/p>\n<ul>\n<li>\n<p>Acute generalized <span class=\"term\" data-term-id=\"376\">exanthematous<\/span> <span class=\"term\" data-term-id=\"1130\">pustulosis<\/span> (AGEP) <\/p>\n<ul>\n<li>Drug eruption<\/li>\n<li>Suggestive biopsy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-32-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8198149-6394657' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-32-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8198149.jpg'>\n<\/div>\n<p class=\"p-small\">Generalized acute exanthematous pustulosis <\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Herpetic eczema <\/p>\n<ul>\n<li>Previous or rare eczema, other skin conditions.<\/li>\n<li>Grouped, umbilized monomorphic vesicles, pustules, or crusts<\/li>\n<li>Herpes simplex culture \/ PCR<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-8-blistering2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8224742-9648179' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-8-blistering2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8224742.jpg'>\n<\/div>\n<p class=\"p-small\">Herpetic eczema<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Generalized <span class=\"term\" data-term-id=\"792\">pustular<\/span> psoriasis (Zombusch) <\/p>\n<ul>\n<li>May or may not have a history of <span class=\"term\" data-term-id=\"235\">license plate<\/span> psoriasis\n<\/li>\n<li>Symmetrical eruption of numerous superficial pustules on red skin.<\/li>\n<li>Often void, <span class=\"term\" data-term-id=\"497\">flexural<\/span>\n<\/li>\n<li>Associated with hypocalcemia<\/li>\n<li>Suggestive biopsy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-33-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-8606453-6787089' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-33-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-8606453.jpg'>\n<\/div>\n<p class=\"p-small\">Generalized pustular psoriasis.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Chickenpox (late stage) <\/p>\n<ul>\n<li>More itching than pain<\/li>\n<li>Mainly scalp, face, trunk<\/li>\n<li>Culture \/ PCR Herpes varicella zoster<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-31-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9842720-9478625' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-31-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9842720.jpg'>\n<\/div>\n<p class=\"p-small\">Chickenpox<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p><span class=\"term\" data-term-id=\"309\">Extended<\/span> purple \/ black areas<\/p>\n<ul>\n<li>\n<p>Fulminant purpura \/ disseminated intravascular coagulation<\/p>\n<ul>\n<li>Usually due to meningococcal disease (stiff neck, <span class=\"term\" data-term-id=\"973\">photophobia<\/span>)<\/li>\n<li>Rapid deterioration of the mental state.<\/li>\n<li>Purple initially affects the extremities<\/li>\n<li>Blood cultures \/ meningococcal PCR can reveal the cause<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-34-feverrash2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5692741-4948693' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-34-feverrash2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5692741.jpg'>\n<\/div>\n<p class=\"p-small\">Fulminant purpura \/ disseminated intravascular coagulation<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1091\">Vasculitis<\/span> <\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1171\">Palpable<\/span> purple<\/li>\n<li>Recent or drug or underlying infection <span class=\"term\" data-term-id=\"319\">chronic<\/span> disease<\/li>\n<li>Confirmatory biopsy       <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='figure-35-feverrash__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8440668-6556386' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/figure-35-feverrash__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8440668.jpg'>\n<\/div>\n<p class=\"p-small\">Vasculitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Acute presentation of a sick patient Fever most commonly indicates bacterial or viral infection. If there is no systemic septicemia, localized rashes associated with the infection tend to cause less\u2026<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8148","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8148"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8148\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}