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Girl's Sore Throat and Fever Persist & Rash Spreads - Let's Diagnose



An 8-year old was seen by her pediatrician because of a sore throat and fever that didn't improve for several days. A petechial rash had started to appear, spreading from her head and neck down her torso. She complained of nausea and appeared ill. Her mother also pointed out that her tongue was unusually red.

Is it toxic shock syndrome, kawasaki disease, scarlet fever, or mononucleosis?

Check out our differential in VisualDx.

The correct diagnosis is...

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VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide.  VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at