2 Days Of High in Pediatrics — 5yo Child | Pediatric Infectious | SMLE Q#12271

SMLE Question #12271

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A 5-year-old boy is brought in during winter with 2 days of high fever and sore throat. A rash began on his trunk this morning and spread to his neck and extremities. Examination shows a diffuse erythematous fine papular rash, more intense in skin folds, circumoral pallor, and a bright red tongue with prominent papillae. The pharynx is erythematous with exudates, and there is tender anterior cervical lymphadenopathy. What is the most likely diagnosis?

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