D'incau Stéphanie, Lebowitz Dan, Toutous-Trellu Laurence, Eperon Gilles, Huttner Benedikt
London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E 7HT, Royaume-Uni.
Service de médecine interne et générale, HUG, 1211 Genève 14.
Rev Med Suisse. 2017 Apr 12;13(558):798-807.
Fever with rash is a frequent reason for consultation. A detailed medical history and thorough physical examination are essential since laboratory tests often lack specificity. Certain infectious and non-infectious causes are considered medical emergencies and must always be investigated upon initial evaluation. In the case of a history of recent travel the differential diagnosis has to be broadened but it should not be forgotten that resurgent « childhood » viral diseases like measles can be acquired while traveling.
发热伴皮疹是常见的就诊原因。详细的病史和全面的体格检查至关重要,因为实验室检查往往缺乏特异性。某些感染性和非感染性病因被视为医疗紧急情况,在初次评估时必须始终进行调查。如果有近期旅行史,鉴别诊断范围必须扩大,但不应忘记,在旅行期间可能会感染像麻疹这样再度出现的“儿童期”病毒性疾病。