SELF-ASSESSMENT

摘要

A 5-month-old Afro-Caribbean child presented with a 6-day history of high fever, being miserable and a rash. Examination revealed mildly congested throat, small 0.5cm x 0.5 cm non-tender cervical lymph nodes, mild conjunctival injection, and normal ears. No obvious rash was appreciated but he had dry cracked lips. His mother pointed out that his BCG scar had become more prominent and red over the past 2 days (Fig. 1). He was irritable but did not have any focal neurological or meningeal signs. The rest of the systemic examination was normal.