Roseola Infantum: An Outbreak in a Maternity Hospital

Differentiating roseola infantum with pyuria from urinary tract infection

“…The disease is most common in children aged <24 months and initially manifests as a sudden‐onset high fever, typically lasting 3–5 days . A variety of other symptoms may manifest after the fever has subsided, including a characteristic rose‐colored skin rash (exanthema subitum), diarrhea, edematous eyelids, glandular enlargement, and irritability …”

“…6 A variety of other symptoms may manifest after the fever has subsided, including a characteristic rose-colored skin rash (exanthema subitum), diarrhea, edematous eyelids, glandular enlargement, and irritability. [5][6][7][8] Diagnosis of roseola infantum can be challenging because the initial symptom of fever, during which patients often present, is also suggestive of other common conditions in children and infants, notably urinary tract infection (UTI). 9 Further complicating the diagnosis is the possibility that other characteristic symptoms (in particularly rash) may not manifest.…”

Respiratory distress syndrome in the newborn.

“…Similarly, in adults the risks of exposure may also be greater in contacts of carriers with liver disease than in contacts of healthy carriers. 8 It is within the hospital that the chances of cross-infection are greatest, particularly in the areas of blood transfusion and renal medicine. All personnel concerned must be screened at regular intervals for the antigen.…”