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| Format: | Recurso digital |
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Zenodo
2025
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| Online Access: | https://doi.org/10.5281/zenodo.17980005 |
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Table of 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>