A 3-Year-Old Boy Is Brought to the Physician by His

A 3-year-old boy is brought to the physician by his mother because of fever for 6 days. Yesterday, his mother noted a rash on his lower body . His temperature is 38.9°C (102°F) pulse is 140/min, and respirations are 30/min. Examination shows right-sided anterior cervical lymphadenopathy, bilateral conjunctival injection, erythema of the tongue and lips, and a maculopapular rash involving the hands, feet, perineum, and trunk. The remainder of the examination is unremarkable.  Which of the following is the most likely diagnosis?

A) Adenovirus infection
B) Hand, foot, and mouth disease
C) Kawasaki disease
D) Measles
E) Scarlet fever

Correct Answer:

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