Question 119 · LEK · Measles

A two-year-old child unvaccinated (parents’ decision) came back home after two-week’s vacation from Ukraine. After a week the child developed high fever, dry cough, nasal discharge and conjunctivitis with eyelid edema. After three days numerous grayish-white papules appeared on the cheek mucosa and after another two days as the fever dropped, a rash appeared on the forehead and then it spread. The child should be diagnosed with:

  1. A. Kawasaki disease.
  2. B. measles.
  3. C. scarlet fever.
  4. D. infectious mononucleosis.
  5. E. roseola.
Hint

An unvaccinated child with a prodrome of cough, coryza and conjunctivitis followed by spots on the buccal mucosa.

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