[usmleman2020]

A previously healthy 8-year-old boy has a 3-week history of low-grade fever of unknown source, fatigue, weight loss, myalgia, and headaches. On repeated examinations during this time, he is found to have developed a heart murmur, petechiae, and mild splenomegaly. Which of the following is the most likely diagnosis?
a. Rheumatic fever
b. Kawasaki disease
c. Scarlet fever
d. Endocarditis
e. Tuberculosis

 

[USMLE2011m]

B : Kawasaki?

 

[m82_ghasemi]

endocarditis

Splenomegaly and Petechiae!

 

[akua]

D .endocarditis

 

[laurier]

d. Endocarditis

 

[menatallah Elgohary]

D > endocarditis

 

[MANIAKOS]

heart murmur, petechiae, and mild splenomegaly show endocarditis

 

[salz]

very good question , i am confused about endocarditits and rheumatic fever cuz of the age. but i will agree with everyone else here that its endocarditis!

 

[USMLE-Syndrome]

d. Endocarditis ( new murmur and fever )

 

[mesut]

endocarditis