infection Flashcards
whats unique
common self limiting to life threatening infections
SIRS
systemic inflammatory response syndrome
severe sepsis
SEPSIS + multi organ failure
Paediatric sepsis
neonates- group B streptococi, e coli, listeria monocytogenes
causative treatment
cephalosporins
broad spectrum and good CSF penetration
amoxicillin if neonate
lactate
body undergoes anaerobic respiration and under stressed
meningococcal rash
petechial, non blanching rash
streptococci
treated with penicillin
no resistance issues
staphylococci
treated with flucloxacilin
resistance major issue
scarlet fever
typical group A strep infection -malaise, fever, pharyngitis, rash strawberry tongue squamation (hands & feet)
Group A strep
2-10yrs old
immunosuppressed, chicken pox
virulence factors: M protein
complication: rheumatic fever,
staph aureus
widespread carriage in nasal passage, perineum and axillae
causes skin infections and serious systemic
staph scalded skin syndrome
toxic shock syndrome
impetigo
s pyogenes/ s aureus
highly contagios
no systemic symptoms
SSSS
aureus
fever, widespread redness, fluid filled blisters, rupture easily, especially in skin folds
Kawasaki disease
self limited vasculitis of medium sized arteries
reported in all racial and ethnic groups,
fever for 5 days plus: unremitting fever bilateral conjunctival injection cracked lips/ strawberry tongue cervical lymphadenopathy polymorphous rash changes of the extremities
