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Signs include a very high fever (102°F or higher) and a pale pink or salmon-colored rash, usually on the chest and thighs. It’s sometimes confused with a bacterial infection, but antibiotics don’t help.

The fever tends to spike several times during the day. It usually peaks at night and then improves in the morning. Children also have joint pain, swelling, or both. This may become more painful when their fever is high.

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