title: [Fever and petechial exanthema in children].
abstract: In an attempt to determine clinical and analytical predictive parameters of a possible grave disease, we have carried out a retrospective study of 172 children admitted to our hospital with fever and petechiae as initial symptoms. The ages ranged between 1 month and 10 years. Even though we have not found a clinical symptom or analysis sufficiently sensitive as to predict all grave diseases, the general clinical state of the child associated with either a high or low white cell count and an abnormal coagulation study should be alert signals for a serious infectious disease. On the contrary, if the clinical and analytical parameters are within normal limits the risk of a grave disease is low. We emphasize the high incidence of meningococcal disease (26%).
authors.affiliation: Servicio de Pediatría General, Hospital Infantil Universitario Virgen del Rocío, Sevilla.
authors.forename: J A
authors.initials: JA
authors.lastname: Soult Rubio
authors.forename: J
authors.initials: J
authors.lastname: Navarro González
authors.forename: P
authors.initials: P
authors.lastname: Olano Claret
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005334:Fever / Q000209:etiology*; D006192:Haemophilus Infections / Q000150:complications; D006193:Haemophilus influenzae; D006801:Humans; D007223:Infant; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications / Q000382:microbiology; D011693:Purpura / Q000209:etiology*; D018805:Sepsis / Q000150:complications / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications
vernacular_title: Fiebre y exantema petequial en niños.