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Question

A 'slapped cheek' rash is characteristically seen in which of the following infections?

The correct answer is
Erythema infectiosum

Infectious Disease Identification: The 'Slapped Cheek' Rash

The characteristic 'slapped cheek' appearance, a bright red rash on the face resembling a slap, is a hallmark symptom of a specific viral illness.

Identifying Erythema Infectiosum

This distinctive rash is most commonly associated with Erythema infectiosum, also known as the fifth disease or 'slapped cheek' syndrome.

  • Cause: Erythema infectiosum is caused by the human parvovirus B19.
  • Presentation: The 'slapped cheek' rash is typically the most prominent and often the first noticeable symptom in children. It is usually followed by a lacy rash on the trunk and limbs.

Differential Diagnosis Considerations

While other infections can cause rashes, they usually present differently:

  • Measles: Causes a maculopapular rash that starts on the face and spreads downwards, often accompanied by Koplik spots and respiratory symptoms.
  • Rubella (German Measles): Presents with a milder, pinkish rash that spreads rapidly from the face, often with swollen lymph nodes.
  • Chickenpox (Varicella): Characterized by an itchy rash that starts as red spots, progressing to fluid-filled blisters and then crusts, appearing in crops all over the body.

Therefore, the specific 'slapped cheek' presentation points strongly towards Erythema infectiosum.

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Important Questions from Viral Infections

  1. HIV-associated neurocognitive disorder (HAND) includes which of the following? 

    1. Asymptomatic neurocognitive disorder 

    2. Minor neurocognitive disorder 

    3. HIV-associated dementia 

    Select the correct answer using the code given below.

  2. Which of the following treatments for a pregnant lady who has been exposed to a patient of chicken pox are correct? 

    1. Varicella-zoster immune globulin 

    2. Varicella-zoster vaccine 

    3. Acyclovir 

    4. Prednisolone 

    Select the correct answer using the code given below.

  3. Which of the following statements are correct regarding Kyasanur forest disease? 

    1. It is commonly seen in North-Eastern States of India. 

    2. Monkeys act as reservoir of the disease. 

    3. Transmission happens through tick bite. 

    4. Inactivated vaccine is available for its prevention. 

    Select the correct answer using the code given below.

  4. Which one of the following has the highest risk of human immunodeficiency virus (HIV) transmission after single exposure to an HIV-infected source ?
  5. Fever with splenomegaly and lymphadenopathy can be seen in
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