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Peds Infxs Dz


3 C’s of measles (rubeola) cough, coryza, conjunctivitis
Koplik’s spots oral lesions (enanthem) appear before rash
Second dz tx scarlet fever; Pen VK
Third dz rubella; postauricular & occipital adenopathy
Measles vs rubella: resolution measles self limiting in 7-10 days; rubella in 4 days; Rx = sx for both
Rubella dx: paired sera
Rubella complication arthralgia
Fifth dz s/s mild flu-like; rash at 10-17 days (first: slapped cheeks; reappears for 2-4 wks; second: lacy on arms/legs)
Fifth dz complications arthralgia (symmetric poly in older); fetal / 1st trimester death
Caused by parvo B19, spring/summer; adol/YA; LA, fever, arthralgia, self-limiting in 1-2 wks Papular purpuric glove & sock syndrome
Roseola (6th dz) Exanthem subitum; HHV6 & HHV&; 6 mos-3 yo; abrupt fever to 104 (3-7 days); Defervescence precedes rash
VZV: incubation in ___ & crusts in ___; contagious for ____ 10-20 days; 3-5 days; 1 week
HFMD S/S vesicles; poss genl scarlet rash; low fever, anorexia
HFMD comps myocarditis, substernal chest pain, dyspnea
papular acrodermatitis of childhood AKA: Gianotti-Crosti Syndrome
Gianotti-Crosti Syndrome age onset/etiology 6-14 mos (mean 2 yo); EBV (poss HHV4 or hep B)
Gianotti-Crosti S/S symmetric red-purpuric papules and papulovesicles on face, buttocks, extremities; low fever, LA; self-limiting 3-4 wks
Mumps parotitis is bilateral in ___% of cases 70%
Mumps presentations 2-3 wks incubation; stenson duct red w/yellow d/c; dx w/paired sera, clinical dx
Mumps comps orchitis, pancreatitis, oophoritis, aseptic meningitis
Viral gastroenteritis etiologies rotavirus; caliciviruses (includes noroviruses); astroviruses ; adenoviruses
Bacterial gastroenteritis etiologies nontyphoidal Salmonella; Shigella; Campylobacter; E. coli (EPEC, 0157-H7)
Viral gastro: explosive, watery diarrhea, N/V, fever, 2-8 days rotavirus
Gastroenteritis: Abx recommended for Shigella or EPEC if <3 mos old; NOT for Salmonella or 0157:H7
Giardia may cause: vulvovaginitis in prepubescent girls
Pearly dome shaped papules with central umbilication: molluscum contagiosum (poxvirus)
Most at risk for bacterial meningitis: kids <1 y.o.
bacterial meningitis: common causes in newborns GBS, E. Coli; Klebsiella; Enterobacter; L. monocytogenes
Viral meningitis usually due to: coxsackie / enterovirus (mumps is uncommon)
Pinworm can cause: vaginitis and/or UTIs in prepubescent girls
Created by: Adam Barnard Adam Barnard