Hand- and foot- exanthem and petechiae associated with COVID-19 in a 4-month-old girl: A case report

Abstract

Abstract
Introduction: The rash in children with COVID-19 has a variety of characteristics. The rash on the hands and feet, which is a characteristic feature of Hand-Foot-Mouth Disease, could also be found in children with COVID-19.
Objective: To present a case of Hand and foot exanthem in children diagnosed with COVID-19, from the hospital in the eastern region of Thailand.                                Methods: Studying the data form medical records of 1 child with COVID-19 infection and HandFoot-Mouth disease-like rash on their hands and feet.
Results: A 4-month-old girl patient diagnosed with COVID-19 by an RT-PCR nasal secretion test had a fever and red spots on her hands, feet, and buttocks, which are characteristic of Hand-Foot-Mouth disease. She also had petechiae along the diaper fold’s edge. The stool test showed no evidence of pan-enteroviruses infection. CBC revealed normal platelet counts. Hand
and foot erythematous macules and papules at the buttock in this COVID-19 case represent a mild manifestation; rash spontaneous resolved in 5 days.
Conclusion: The skin manifestation that resembles rash in Hand-Foot-Mouth disease by enterovirus is present in COVID-19 infection and can be mistaken for Hand-Foot-Mouth disease. Patients with diverse types of fever rash are given a variety of diagnoses. COVID-19 should always be considered, particularly during the outbreak.