Suspected viral maculopapular eruptions: an audit of practice

Dermatology. 2013;227(1):72-7. doi: 10.1159/000352078. Epub 2013 Aug 30.

Abstract

Background: Consensus is lacking about investigations to be performed for viral eruptions.

Aims: Audit of investigative practices for viral eruption.

Methods: Retrospective study of patients hospitalized for viral eruption, divided into 2 groups: suspected viral infection (SV), with a clinical presentation suggesting a specific virus, and nonspecific suspected viral infection (NSV). Investigations of results and costs of virology tests.

Results: We included 59 patients, 25 in the SV and 34 in the NSV group. Measles was suspected in 21/25 SV patients and confirmed in 20 (95%). The causal agent was confirmed in 6 NSV cases (17.6%), including 2 HIV infections. The median number of virology tests was 7 (1-14) and the median cost was EUR 144, with no significant differences between the 2 groups.

Conclusion: Virology testing is useful when a putative virus is clinically suspected. HIV serology screening should be systematically performed.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • HIV Infections / diagnosis*
  • Humans
  • Male
  • Measles / diagnosis*
  • Medical Audit*
  • Middle Aged
  • Retrospective Studies
  • Skin Diseases, Viral / diagnosis*
  • Virology / economics
  • Virology / methods*
  • Young Adult