Fever and rash in an 8-month-old girl.

An 11-month-old girl presented with a 3-day history of high fever, irritability and decreased appetite. However, there was no coryza, cough, diarhoea or fits. On the third day, a generalised erythematous rash appeared after the fever subsided abruptly. The rash was pinkish in colour, non-pruritic and discrete, which initially started on the trunk and later spread to the face, neck and extremities within 2 days. On further questioning, she was found to be appropriately immunised for her age according to the Ministry of Health’s immunisation schedule. No similar illnesses existed in her family and the nursery she attended.