A 6-year-old boy presents with fever, malaise, cough, running nose and conjunctivitis. His past medical history indicates that he did not receive any immunizations due to his parents’ religious beliefs. On examination, his temperature is 102.7 F and there are white spots on a red base close to his second molar teeth. He also has a non-pruritic, maculopapular rash on his face, behind his ears, and spreading to his chest. What is the most likely diagnosis?
A- Chickenpox
B- German measles
C- Measles
D- Mumps
E- Smallpox
Answer:
- Fever, malaise, cough, runny nose, and conjunctivitis: These are classic prodromal symptoms of measles.
- White spots on a red base close to his second molar teeth: These are known as Koplik spots, which are pathognomonic for measles.
The correct answer is C
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