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Doctor House - What are those spots on the belly of the baby?
Monday morning, 8.00 am. The phone of the pediatrician in the rings. On the other hand, there is the mother of Joseph: "I Think I have combined a mess!". Shortly after, the lady presented herself in the studio carrying the little one of 10 months. "On Friday, I took it back to the kindergarten after lunch. It seemed strange, but I thought it was the tiredness and at home there I have done more the case. But in the evening it was boiling. More than 39°C. The next day had a very important date: there was the marriage of my sister. For it to heal as soon as possible, I have given both the acetaminophen is the antibiotic. When I had prescribed to treat the otitis to my other daughter, already after the first dose, the child had no more fever. I was still in the fridge".
The pediatrician grabs fonendo and otoscope and invites the lady to lie down Joseph on the bed. Maybe the older sister will have infected the little brother. In the undress the baby, the mother asks for explanations: "But Cecilia is doing well, is healed, his otitis goes back about 3 months ago. How can he granted Joseph?". The pediatrician shakes her head. Now Joseph is naked, on the abdomen there is a fine rash. The mother continues her story. "Joseph, I have not been so lucky, alas. The fever continued, in spite of a teaspoon of the antibiotic in the morning and one in the evening. Up to this morning. Behold, today you woke up feeling fresh, finally. But in changing his diaper, I realized that belly was full of stains. Yesterday evening they were not there. You may be allergic to the antibiotic? Or I gave too much?".
what will Joseph?
your answers - Joseph may be affected by the Sixth Disease (Fernando Agrusti)
- Your child has a form petecchiale (purple), presumably by viruses or bacteria (such as X diagnosis requires swab, pharyngeal, and cover crop) (Elena Merollamedico surgeon)
- Rash-critical, or sixth disease (Giulia Barranco)
- Rash suffered or sixth disease (Rocco Oliveto)
- The little Joseph may have had the disease, or Rash Critical (Carlo Tripepi)
- Rash EBV+ampicillin? (Dennis Linder)
- The answer is the fourth disease (Adriana Hopes)
- Measles (dr Roberto Polisca - Urbino)
- Sixth disease (exanthema subitum) (Lorenzo Desalvo)
- Joseph was the sixth disease (Silvia Zanini)


*Elena Bozzola, national secretary of Sip (Italian Society of paediatrics)

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