Roseola Infantum ( sixth disease OR Exanthem Subitum )

Roseola Infantum ( sixth disease OR Exanthem Subitum ):

           * Caused by human herpes virus -6 ( HSV - 6 ).

           * Similar illness is caused by Parvovirus B-19 and Echovirus.

           * Age involved : 6 months to 3 years.

           * IP : 5 to 15 days.

           * Clinically: Abrupt onset with high grade fever,

Mild pharyngitis and Coryza.

The temperature comes down rapidly in 3 to 4 days when a macular or maculopapular rash appears, starting from trunk and sometimes extending to the extremities and face.

Rash lasts for 24 hrs and disappear in 1-2 days without pigmentation or desquamation.

There is Occipital and post auricular lymphadenopathy.