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Main Author: THOMAS HELEN MARAGATHAM CHRISTINA JEBA JAYAM
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Published: Zenodo 2025
Online Access:https://doi.org/10.5281/zenodo.17980005
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author THOMAS HELEN MARAGATHAM CHRISTINA JEBA JAYAM
author_facet THOMAS HELEN MARAGATHAM CHRISTINA JEBA JAYAM
contents <p>Background: In Indian tertiary care, acute febrile illness (AFI) with rash often leads to diagnostic uncertainty. Viral exanthems frequently mimic bacterial infections, leading to the over-prescription of antibiotics.</p> <p>Objective: To identify common viral-bacterial "mimics" in Indian hospitals and provide solutions for accurate differentiation.</p> <p>Methods: This review synthesizes clinical guidelines from Indian and international sources, focusing on morphological overlap and diagnostic biomarkers.</p> <p>Results: Key pitfalls include misidentifying Dengue petechiae as meningococcemia and confusing viral maculopapular rashes with scarlet fever or drug reactions.</p> <p>Conclusion: Clinical algorithms emphasizing rash morphology and the judicious use of point-of-care (POC) testing are essential to reduce unnecessary antibiotic use and address antimicrobial resistance (AMR).</p> <p> </p>
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spellingShingle Review of Viral Rashes Mimicking Bacterial Infections in Indian Hospitals: Diagnostic Pitfalls and Solutions
THOMAS HELEN MARAGATHAM CHRISTINA JEBA JAYAM
<p>Background: In Indian tertiary care, acute febrile illness (AFI) with rash often leads to diagnostic uncertainty. Viral exanthems frequently mimic bacterial infections, leading to the over-prescription of antibiotics.</p> <p>Objective: To identify common viral-bacterial "mimics" in Indian hospitals and provide solutions for accurate differentiation.</p> <p>Methods: This review synthesizes clinical guidelines from Indian and international sources, focusing on morphological overlap and diagnostic biomarkers.</p> <p>Results: Key pitfalls include misidentifying Dengue petechiae as meningococcemia and confusing viral maculopapular rashes with scarlet fever or drug reactions.</p> <p>Conclusion: Clinical algorithms emphasizing rash morphology and the judicious use of point-of-care (POC) testing are essential to reduce unnecessary antibiotic use and address antimicrobial resistance (AMR).</p> <p> </p>
title Review of Viral Rashes Mimicking Bacterial Infections in Indian Hospitals: Diagnostic Pitfalls and Solutions
url https://doi.org/10.5281/zenodo.17980005