Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, My daughter 5 years old, started with fever and sore throat. rapid strep came back -ve and chest x ray normal. started to have rashes and extreme itchiness and peeling of skin continues along with joint swelling and pain. initially crp and esr elevated and now normal but now ASO is high at 200 and Eosinophils high at 1547 and elevated IGE at 529. coxsackie igg came back positive at 1:1600. Coxsackie B -ve. please help us.
[|AI|]  It must be due to Cossack than streptococcus BCO rash is itchy, and it seems on hands and peripheral region than central and as title will not be high when skin infections is present. No other feature of tonsillitis or red mark on cheeks, so it might be virus, as detected. It is a self limiting disease, so do not panic.However, complications can occur so please complete the course of treatment by pediatrician. Joint pain however go in favor of streptococcus, hence penicillin must be given. Kindly follow your pediatrician.