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The management of fever and petechiae: collaborative studies are needed
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  • Published on:
    Management of afebrile, well children with petechial rash

    Dear Editor

    We read with interest the study and recommendation by Jones, Goldring and Sajjanhar[1]. We feel similarly that children who are well, afebrile, with petechial rash generate anxiety for clinicians who worry about missing occult or early sepsis.

    In our department we have been managing these patients almost similarly to children presenting with fever and petechial rash (admission to paediatric...

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    Conflict of Interest:
    None declared.
  • Published on:
    Yes, the full (CW)ILL criteria were used.

    Dear Editor

    Dr Brent asks, as did Dr Brogan, whether the full (CW)ILL criteria were applied to the cohort of children with meningococcal disease we reported. Yes, all of the criteria (CRP, white cell count, irritability, lethargy and low capillary refill) were used, but would have failed to detect 2 of 66 children with meningococcal disease presenting with petechiae.

    In future the criteria should be call...

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    Conflict of Interest:
    None declared.
  • Published on:
    The "ILL" criteria are actually the "CWILL" criteria.

    Dear Editor,

    The letter from Richards et al [1] states that the ILL criteria proposed by Brogan and Raffles [2] failed to detect 2 of 66 children with meningococcal disease. However, it appears that Richards et al may not have applied the full criteria. The paper states that irritability, lethargy, and low capliary refill were applied, but there is no mention of CRP or white blood cell count. These were included...

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    Conflict of Interest:
    None declared.