RT Book, Section A1 Shirk, Arianna A1 Sorrentino, Annalise A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105685006 T1 Viral Exanthems T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105685006 RD 2024/04/18 AB Most childhood exanthems are benign, self-limited, and require no treatment; but hidden in this presentation is an occasional myocarditis, encephalitis, or pneumonia.Worldwide, rubeola is still a major cause of morbidity and mortality. Early recognition can control spread.Roseola infantum is a common cause of febrile seizures in infants. A full fontanelle may be present in up to 25%.Children with varicella that may benefit from antiviral agents include patients on corticosteroids or chronic salicylates, immunocompromised patients, and those older than 12 years.Neonatal herpes has three presentations in the first 6 weeks of life: Encephalitis with seizures, disseminated with a “neonatal sepsis” appearance, and those localized to the skin, eye(s), and mouth. Early treatment with acyclovir will prevent progression.