Infection Flashcards

1
Q

What micro-organism causes roseola infantum?

A

HHV-6

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2
Q

What micro-organism causes erythema infectiosum?

A

Parvovirus B19

this is also called ‘slapped cheek’

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3
Q

What are the clinical manifestations of roseola infantum?

A

High spiking temperatures for 2-3 days
Followed by rash over whole body.
May get febrile convulsions.

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4
Q

What is the peak age range for measles infection?

A

5-10 years

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5
Q

What are the symptoms and signs of measles?

A

Prodromal fever and lymphadenopathy.
Cough, coryza, conjunctivitis, irritability, high temperature.
Koplick’s spots (rarely noticed) then a maculopapular rash.

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6
Q

What are the symptoms and signs of rubella?

A

Mild prodromal illness.
Rash on the face (esp behind ears), spreading to the trunk.
Lymphadenopathy.

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7
Q

What are the main complications of rubella?

A

Arthritis.

Teratogenicity (congenital rubella syndrome): cataracts, sensorineural deafness, CHD.

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8
Q

How is chickenpox transmitted?

A

Droplet

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9
Q

When is chickenpox infectious?

A

From 48hrs prior to rash until after the rash has scabbed.

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10
Q

What is the management of chickenpox?

A

Symptomatic.

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11
Q

What are the possible complications of chickenpox?

A

Pneumonitis, encephalomyelitis (cerebellitis), secondary necrotising fasciitis.

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12
Q

What symptoms could an infant/young child with a UTI have?

A

Fever, lethargy, vomiting, poor feeding, failure to thrive, jaundice.

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13
Q

What are the most common organisms causing UTI in children?

A

E. Coli, proteus spp, klebsiella spp.

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14
Q

How do we treat UTI in children?

A

Oral augmentin or IV cefuroxime.

Adjust this with culture results.

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15
Q

How might we investigate UTI further?

A

Ultrasound scan to look at anatomy
Urea and creatinine to assess renal function
MCUG to look for ureteric reflux
DMSA scan to identify how well the kidney is perfused.

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16
Q

What are the 2 important organisms to consider in throat infection?

A

EBV

Group A streptococcus.

17
Q

When might you suspect EBV infection?

A

Teenagers (esp if new boyfriend/girlfriend!)
Lymphadenopathy
Spleno/hepatomegaly
Hard palate petechiae

18
Q

How do we test for EBV?

A

Monospot test for heterophile antibodies.

19
Q

How do we treat EBV in severe cases?

A

Oral dexamethasone (to reduce inflammation and prevent obstruction).