A 1-Year-Old Boy Is Brought to the Office for Evaluation

A 1-year-old boy is brought to the office for evaluation of fever and rash.  He felt warm to his parents this morning and did not eat breakfast.  Subsequently, the patient developed a maculopapular rash over the face and upper trunk.  The child has a history of eczema treated with emollients at night and a topical corticosteroid as needed.  He has no other medical issues.  The patient received the measles-mumps-rubella vaccine and the varicella-zoster virus vaccine 7 days ago.  He lives with his parents and 8-year-old twin sisters, all of whom are healthy and up to date on immunizations.  Temperature is 39.8 C (103.6 F) .  On examination, there is a faint maculopapular rash on the face, shoulders, and upper chest that is nontender to palpation.  The remainder of the examination is unremarkable.  Which of the following is the best next step in management of this patient?

A) Airborne isolation
B) Measles serology
C) Oral antihistamines
D) Oral antiviral therapy
E) Reassurance
F) Topical corticosteroids

Correct Answer:

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