infectious disease/erythema infectiousum

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686463876c78b8d82816dd00

Pediatrics

infectious disease

erythema infectiousum

A 7-year-old boy presents to an urgent care facility with a week of intermittent low-grade fever, headache, and myalgias, followed by the sudden onset of a bright red rash on his cheeks, described by his mother as looking "slapped." He recently attended a large summer camp where several children had similar, though milder, symptoms. His past medical history is significant for well-controlled asthma, and he has a paternal uncle with hereditary spherocytosis. On examination, his temperature is 37.5°C, pulse 92/min, respirations 18/min. Aside from the prominent erythematous eruption across both malar areas with distinct perioral sparing, his skin shows a lacy, reticulated rash on his extremities, particularly the arms. His lung sounds are clear, and abdominal examination is unremarkable. Given this presentation, what is the most probable diagnosis and an important potential complication to consider during follow-up?

Lab ParameterValueReference Range
Hemoglobin130 g/L115-135 g/L
White Blood Cells8.5 x 10^9/L4.5-13.5 x 10^9/L
Platelets320 x 10^9/L150-450 x 10^9/L
Reticulocyte Count1.0%0.5-2.5%

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