Contemporary Pediatrics Cases

Purple papules pop up after antibiotic courseThe mother of a 17-year-old boy frantically brings him to the office for evaluation of an itchy, burning rash that started on his hands 1 hour ago.
Child becomes febrile after visiting West AfricaIt’s a Friday morning in the outpatient pediatric clinic when a nurse on the phone with a patient’s mother says that the mother is on the city bus with her 2 daughters on their way to the clinic because the 6-year-old daughter has developed fatigue, body aches, fever, and vomiting since they returned from West Africa.
Worrisome chronic cough in a 3-year-old girlA 3-year-old girl presents to the emergency department (ED) with a 2-day history of worsening cough.
Girl’s itchy rash resists repeated treatmentsYou are asked to evaluate a minimally itchy rash that has been present for over a year on the arm of a 10-year-old girl.
Boy’s lymphadenopathy leads to acute heart failureYou are the night float senior on inpatient hospital service when you receive a transfer from an outside hospital of a 5-year-old Hispanic male who presented with 2 days of fever, unilateral neck swelling with torticollis, and neck pain.
Curious yellow bumps on a baby’s heelsThe parents of a healthy 12-month-old girl are worried about yellow bumps that have been present on the baby’s heels for 7 months.
Six-year-old boy refuses to ambulateA 6-year-old boy presents to the emergency department (ED) with left hip pain and refusal to ambulate.
Infant’s growing birthmark causes blurry visionYou are asked to see a healthy 3-month-old boy with a rapidly growing lump on his left upper eyelid.
Infant’s diaper hides anogenital lesionsYou are asked to evaluate a healthy 6-month-old boy who has had 5 nonerythematous papules in the right groin area for 2 months.
Child with fever after foreign travelYou are on call as a local pediatric infectious disease physician and receive a message from a colleague at a nearby primary care clinic. A 10-year-old boy is being referred to you for persistent fever and intermittent dry cough that began 4 weeks ago after a week spent visiting family in Karachi, Pakistan.