As some of you will know, this has not been a great week for me, but the last 36 hours have been the pits.
Sorry this section is long, but worth it, as it is linked.
My son, came into me on Wednesday night saying his eye was bloodshot, it was indeed very bloodshot, his cheek was a little pink too, I thought little
of it, told him to go to sleep and we would look at it again in the morning.
The next morning, both cheeks were bright pink, his eye was a little gammy (just needed cleaning) but it was no longer bloodshot so I packed him off
He came home, complained of having a headache, so I gave him some painkiller.
He also said his cheels are sore and a bit itchy, I dug out the thermometer to check his temp, but found it didn't work, so I ran him round to the
chemist to get a new one and ask the pharmacist.
The pharmacist was concerned as it looked to have spread to his forehead (a spotty raised rash) and his neck (similar to hisofrehead rash.
Her advice was he needed to see a doctor.
So I went home, checked his temp, it was 36.6 celcius...nice and normal, rang 111 and they advised he saw the out of hours GP.
Well, she wasn't very helpful, I said could it be slapped cheek? as I thought that was the most logical conclusion at the tie based on presentation
and she said..
"No, I don't think so, it looks more like a reaction, you say he wasn't well at Christmas, so perhaps this is a reaction, to the way his body
fought the virus?!"
Ok...we took the emoilient she prescribed as she felt his cheeks looked very dry, I applied it when we got home.
"Argh, Mum, that really hurts!"
The cream hurt his cheeks so much he cried, I gave him so anti-histamine, ibuprofen and packed him off to bed.
The Second Visit:
Friday is when it got really interesting, sorry you have had to wait til this point for the juicy part, but I felt it important to know the
I didn't send him to school, as I wasn't convinced by the diagnosis and agreed when the doctor said he needed a little rest, by about four thirty in
the afternoon he walked into the kitchen and I noticed the rash more prominently on his neck, I unzipped his onsie to investigate.
The rash was on his neck, down one shoulder, covered the back of his neck, his back, his bottom, his entire groin area too.
When I was 10 I had rubella (german measles), ater I had it the doctor vaccinated me against it (I have no idea why, as when I had my youngest, I
wasn't immune, I couldn't be, as I carry the anti-body), my son's rash looked identical, so I began to think, he is around the age I caught it,
perhaps the MMR didn't work.
MMR is meant to carry 20 years worth of immunity for 99% of those who receive both doses (my son had both doses), for 1% it fails.
Whoever would have thought my family may make it into the 1%!?
At this point I could go on a major rant about the state of point of contact care, but I won't as it would be riddiculous and take away from the
purpose of this thread, but let's just say we ended up back at the out of hours GP.
Well he looked at the rash, asked my son how he felt and preceeded to tell me that he would be far more worried if he had symptoms but no rash, than a
rash and no symptoms, I did try to explain although he is an obnoxious pre-teen nightmare, he had not been 100%.
The most I could get him to commit to was he had a virus, he didn't know which one, I asked what his gut instinct was, but he couldn't be drawn, he
mentioned slapped cheek, said it can spread, though he equally didn't say it wasn't rubella, just that he had a virus, and it wasn't worth finding
out which one.
I mentioned the risk if it was german measles, his reply was "It is up to everyone to get immunised, not just one person to protect coming into
Personally I find this doctors attitude to be one of complete apathy, sure he would have been most contagious prior to rash, but what am I supposed to
tell his school on Monday?
I'm not saying it is rubella, just that the rash is identical to the one I had in terms of presentation, I'm not saying it's slapped cheek either,
but it is a possibility.
The problem with not trying to put a name to it, is piece of mind, there was a time, when I was young, you would see your doctor and they would have a
hunch, 9 times out of 10 that hunch would pay off, nowadays its all left open ended.
My concern is if this is rubella, then what about the mealses and mumps conponent of the vaccine, is he still immune?
The failure rate for the MMR to protect from mumps is higher...between 5-10%
I apologise for waffeling on, but I genuinely wondered what you guys might think, I know none of you can diagnose, but am I ....
2) Barking up the wrong tree?
3) Right to be concerned, with regard to MMR no longer doing its job?
4) Perhaps, slapped cheek is a more appropriate diagnosis, or it really could just be some random virus with no specific name of signifigance, with a
rubella like presentation?
I know the community on here has very mixed feelings with regards to vaccination in general, personally I am an advocate of immunisation, I have even
commented in support of MMR on this very site in the past, on more than one occaision.
So tonight I am wavering on my stance, mainly because is vaccinaion leading to complacency in diagnosis, the "Oh you're immune, most are immune,
don't worry about it, they should be immune anyway."
Would be great to have some feedback folks