Childhood Diseases Flashcards
What is the incubation period for the chicken pox
14-21 days
How is chicken pox spread?
Droplets and airborne
What are clinical features of chicken pox
Ulcers- yellowish in colour Rash Cervical lymphadenopathy Fever General malaise
How does varicella zoster present in adults
Secondary infection in adults present as shingle
Pain
Unilateral rash
Mandibular zoster- buccal and lingual mucosa
Maxillary zoster- ipsilateral palate and vestibule
What is Ramsay hunt syndrome?
Lies dormant in trigeminal ganglion Seen only rarely- when shingles outbreak affects facial nerve near ear Rash in ear- hearing los Facial palsy Genilculate zoster Ipsilateral soft palate ulcers
Describe primary herpetic gingivostomstitis
Caused by herpes simplex virus
Systemic features- fever, malaise, cervical lymphadenopathy
Clinical characteristics- swollen gingiva
Vesicles on peri oral skin- vermillion border of lips and oral mucosa
Often disguised as teething
Lies dormant in trigeminal ganglion
Re activated by uv light, stress and immunodeficiency
When re activated- herpes labialis, herpetic whitlow- yellowish hue
Describe hand foot and mouth
Cocksackie virus Oral lesions- painful vesicles and ulcers anywhere in mouth Macules and papules on hands and feet Resolved in 2 weeks Highly contagious
What conditions are caused by the coxackie virus?
Hand foot and mouth
Herpangina
Describe herpangina
Vesicles also soft palate Fever Malaise Sore throat Swallowing difficulties Resolves in 1 weeks
Describe mumps
Viral infections of the salivary glands
Mumps virus
Bilateral swelling of the parotid glands
Describe measles
Highly contagious
Systemic symptoms and skin rash
Risk of bacterial complications
Koplix spots associated- red Macules with white necrotic centre along line where upper buccal mucosa meets lower
What are koplix spots associated with and what the they present as?
Measles
Red Macules with white necrotic centre
Line where upper buccal mucosa meets the lower
Describe rubella
Highly infectious Viral Spread by droplets Rash on face and behind ears Can kill or damage foetus
Why is the chicken pox virus caused by?
Varicella zoster virus
