<s>[INST] My 14 year old daughter has had a fever this week - as high as 103, falls during the day and has returned to about 101 each night.  She had a rash on her trunk and back and now has developed itchy hands and feet - the hands had small bumps, but her feet are just itchy and hurt to scratch - any ideas? [/INST] Hello. Thank you for asking at Chat Doctor. I went through your daughters history and first thing I will think of is an infection, especially if this is 1st episode of this type with her. Such symptoms are usually caused by viral infections or some atypical bacterial organisms. Personally I would treat with a 3-day course of azithromycin, paracetamol for fever, cetirizine for itching, complete rest till recovery and plenty of fluid intake. I would also suggest applying calamine lotion to the areas of rash. However, if she develops any new symptom or her symptoms worsen, I would suggest you to consult a pediatrician who will advise some investigations after examining her. Hope this will be helpful to you. Wish your daughter a quick recovery and the best of the health. Regards. </s>