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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Aching Muscles, Red Rash On Chest, Low Platelets And High WBCs?

Yes, sir... My 16 yr old nephew is healthy, but since Thursday he has had temp. spikes of 102. , aching in his chest and most muscles. A fine red rash on his chest. He was seen in a walk in clinic today and was told it was a virus of some kind...? His platelets are low and WBC s high. I don t have a print out, just a concerned call from my sister in law. He is complaining of shortness of breathe....I m a concerned aunt. Carol Wood, RN, MS
Fri, 14 Nov 2014
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Internal Medicine Specialist 's  Response
Hello,
fever, muscle aches and rash probably points to a viral infection. This is not 100% certain diagnosis though. A thorough clinical examination is needed and perhaps more diagnostic tests.
What's concerns me more is his shortness of breath. This symptom calls for immediate medical attention. I would have asked for X-ray, oxygen saturation (SpO2) and electrocardiogram right away, if I were his doctor. Another important test is C-reactive protein.
I couldn't suggest a specific diagnosis with the provided information but the above tests can be very useful to exclude more serious conditions.
I hope I've been helpful!
If you need further clarifications, please ask and I'll be glad to provide them for you.

Kind Regards!
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What Causes Fever, Aching Muscles, Red Rash On Chest, Low Platelets And High WBCs?

Hello, fever, muscle aches and rash probably points to a viral infection. This is not 100% certain diagnosis though. A thorough clinical examination is needed and perhaps more diagnostic tests. What s concerns me more is his shortness of breath. This symptom calls for immediate medical attention. I would have asked for X-ray, oxygen saturation (SpO2) and electrocardiogram right away, if I were his doctor. Another important test is C-reactive protein. I couldn t suggest a specific diagnosis with the provided information but the above tests can be very useful to exclude more serious conditions. I hope I ve been helpful! If you need further clarifications, please ask and I ll be glad to provide them for you. Kind Regards!