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Pediatrics FMGE 2018 cfebfd0e

A 6 year child presents with hepatosplenomegaly & generalized lymphadenopathy along with fever. The child developed a rash, after being administered ampicillin. What could be the possible diagnosis?

A
Infectious mononucleosis
B
Scarlet fever
C
Kawasaki disease
D
HIV infection
High-Yield Explanation
Infectious mononucleosis: Aka glandular fever Etiological agents: Epstein-Barr virus (EBV) Mode of transmission: Blood transfusion, Direct contact C/F: Fever, headache, sore throat, generalized lymphadenopathy, splenomegaly, hepatomegaly Patients with infectious mononucleosis treated with ampicillin or amoxicillin may experience "Ampicillin rash" which may occur with other b- lactam antibiotics. This morbilliform, vasculitis "ampicillin rash" is probably immune mediated and resolves without specific treatment.

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