A sick baby and father…

Hello from Cape Town, South Africa. We just landed and I have a clinical case to present to you.  This case is posted with permission. This is a man in his mid-30s from New York City who has a 9-month-old daughter and both are currently sick in South Korea.

The baby got sick a few days ago in New York City before the family flew to Seoul, South Korea for vacation. They saw a pediatrician in Seoul when the baby had 103 degree fever and malaise but that was pre-rash. After the rash erupted, the clinical diagnosis of hand, foot, and mouth in the baby was made.

The father started developing symptoms as he deplaned in Seoul. He had a scratchy throat, then full body aches, 103 fever with hot flashes and chills.  Then fever subsided to 99 but he had intense throat pain and then developed painful hand and foot red macules with a few on his face.

The baby defervesced but developed diarrhea.

Photos of the father/ baby’s hands are below.

The differential diagnosis includes enterovirus and coxsackievirus, and what else?  Thoughts?

Thanks so much for visiting my website! Writing and reading blog posts does take time and we all know that time is in short supply. You and I will both get much more out of this blog if it leads to dialogue. If you found my post useful and wouldn’t mind leaving a brief comment or sharing on social media, I would be grateful. Or if you’re shy about Tweeting but are willing to email me a comment that I can post anonymously or send an anonymous Surveymonkey, that would be great. My posts are generally written quickly, so if you find any factual or grammatical errors, please do let me know. Best regards, Philip Lederer

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