Question

A 10-year-old boy is brought to the emergency room because of a headache. For the past three days, he has had a fever and a headache. Then, this morning his mother noted the presence of a rash. He denies vomiting, abdominal pain, neck pain, or coughing. Last week, he went hiking with his father although he denies any tick bite. On physical examination, temperature is 38.7℃, heart rate is 88 per minute, and respiratory rate is 23 per minute. There is a blanching erythematous rash with macules on the ankles and wrists. Which of the following is the most likely diagnosis?a. Leptospirosisb. Meningococcal meningitisc. Rocky Mountain spotted feverd. Thrombotic thrombocytopenic purport

Answer 1

Answer:

Rocky Mountain spotted fever.

Explanation:

Rocky Mountain spotted fever (RMSV) is caused by the bacteria infection that are transmitted by the ticks. The symptoms of RMSV are headache, rash and fever.

A 10 year old boy shows symptoms that are similar to the RMSV. A boy has been hiking with his father and may get tick bite. The most likely diagnosis is the Rocky Mountain spotted fever.

Thus, the correct answer is option (c).