Common pediatrickk.pdf

Contact MoT Asymptomatic...

Contact MoT Asymptomatic 1-4 days Incubation period & MoT Gingivostomatitis Droplets Eczema herpiticum with secondary bacterial infection Skin Flu symptoms Painful PUSTULES on the Fingers Herpetic whitlow Otitis media Clinical presentation Eye diseases Clinical presentation Myositis Influenza (RNA) Encephalitis CNS HSV1&2 Croup, pertussis, broncholitis (pneumonia)--> immunocompromised SEM: Skin,Eye,Mouth and CNS dissemination Neonatal disease Supportive Disseminated disease Immunocompromised pt. Within first 28-48 hrs for healthy outpatient Supportive Management Management Oseltamivir Give regardless the time if pt is Acyclovir in (immunocompromised & neonate) having comorbidity/ sever symptoms Associated with lip & skin lesions HSV-1 Prevention ( Vaccine ) More commonly with Genitalia lesions HSV-2 MoT Droplet & Feco-Oral route 14-16 days, range 10-21 days Incubation Asymptomatic (most commonly) Airborne, contact Mot CNS Acute flaccid paralysis (E71, D68) Usually 1 week after getting infected 50-500 lesions start on head Eye Conjunctivitis and trunk then to peripheries Respiratory Pharyngitis Appears as Papules, Vesicles, Pustules Typical vesicular rash Clinical presentation Enteroviruses Clinical Presentation GI Gastroenteritis symptoms Itchy & scratching Hand,foot,mouth disease Coxsakie A6, 10,16 (16 most common) Causing short-limb syndrome Skin Herpangina Scarring of the skin Congenital varicella Enteroviral neonatal sepsis syndrome The mother had varicella during 1st trimester Complications Varicella (Herpes 3) Management Supportive Necrotizing fasciitis (Group A strept) Bacteria superinfection Incubation Period 8 to 12 days, range of 7 to 21 Diffuse varicella pneumonia MoT Direct droplets & Airborne Supportive Koplic Spots (Prodormal period) IV acyclovir in immunocompromised pt Management Fever VariZIG to prevent the immunocompromised pt as post-exposure Cough VZV Vaccine Clinical presentation 3C’s Coryza Reactivating of a latent VZV Conjunctivitis Ramsey-Hunt Syndrome Involvement of Trigeminal Nerve Shingles (Herpes Zoster) Measles (RNA) Followed by Maculopapular rash spreading cephalocaudally Erythematous vesicular skin rash Otitis media Asymptomatic Common Pneumonia (most common cause of death from measles) Fever Complications Diarrhea Lymphadenopathy Acute Encephalitis HepatoSpleenoMegaly Infectious mononucleosis Rare SubacuteSclerosingPanEncephalitis (SSPE) Occurs after 7-11 years after the infection Pharyngitis with petechia Ribavirin for Immunocompromised pt Exudative pharyngitis Management Vit. A Helps to modulate immune response Rash (After having amoxicillin & ampicillin) Clinical presentation Prevention (Vaccine) Transverse myelitis CNS Herpes Family Viruses Incubation period 16-18 days (12 - 25 days) Splenic rupture MoT Droplets winter & spring Thrombocytopenia Hematology Subclinical (30%) Hemolytic anemia Clinical presentation Fever, malaise, parotitis (uni-bilateral) Burkitt lymphoma Mumps (RNA) Pancreatitis Lymphoproliferative diseases in EBV Associated Malignancies immunocompromised pt Arthritis Complications Nasopharyngeal carcinoma Orchitis (Post-Pubertal) EBV Numerous large T-cells Atypical Lymphocytes Infectious mononucleosis CSF pleocytosis (50%),