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Roseola, Pediatric

Ross Newman, DO, MHPE Reviewed 10/2018
 


BASICS

DESCRIPTION

Roseola infantum is a common illness in preschool-aged children with a classic presentation of fever lasting 3 to 7 days followed by rapid defervescence and the appearance of a blanc...

DIAGNOSIS

HISTORY

  • Diagnosis is clinical, based on classic features.

  • Affected children generally do not look sick.

  • Fever, typically >39.5°C, lasting 3 to 7 days

  • Mild cough and acute rhinitis may be pres...

ONGOING CARE

PROGNOSIS

Most children with roseola infantum recover without sequelae. 

COMPLICATIONS

  • Febrile seizures

    • Most common complication of roseola

    • Between 10% and 15% of children have a generalized t...

ADDITIONAL READING

  • American Academy of Pediatrics. Human herpesvirus 6 (including roseola) and 7. In: Kimberlin DW, Brady MT, Jackson MA, et al, eds. Red Book: 2015 Report of the Committee on Infectio...

CODES

ICD9

  • 058.10 Roseola infantum, unspecified

  • 058.11 Roseola infantum due to human herpesvirus 6

  • 058.12 Roseola infantum due to human herpesvirus 7

  • 057.8 Other specified viral exanthemata

ICD10

  • B08.20 Exa...

FAQ

  • Q: When can a child with roseola return to day care?

  • A: As soon as fever subsides; there is no infectious risk of spread afterward. The child may return to day care even with the rash visible.

  • Q: Wi...

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