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Petechia in the well child

Report by: Janos Peter Baombe, Senior Emergency Trainee

Search checked by: Katherine Potier de la Morandiere, Prof. Kevin Mackway-Jones, Consultants in Emergency Medicine

Institution: Central Manchester Foundation Trust, Manchester, UK

Three-part question

(In children with a clear history of cough/vomiting/straining), is a (petechial rash limited to the distribution of the superior vena cava) a clinical feature of (meningococcal disease)?

Clinical scenario

A 7-year old girl is brought into the emergency department (ED) by her father, who is concerned about a petechial rash over her face and neck only. She …

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