peds99 Flashcards
management of scarlet fever
goal is to prevent development of rheumatic fever; approp antibiotics include oral penicillin VK, IM benzathine penicillin, or for penicllin allergic patients, erythromycin or macrolides
complications of GABHS infections
post-strep glomerulnephritis several weeks later (abx does not prevent this); rheumatic fever; post-strep arthritis (abx does not prevent this); pediatric autoimmune neuropsych disorders assoc with strep infecntions (PANDAS)
PANDAS
patients develop the acute onset of obsessive compulsive symptoms ro a tic disorder after strep infection. Antibiotic therapy prevents this complicaiton
toxic shock syndrome
toxin-mediated illness characterized by shock, desquamating skin rash, and multiorgan dysfunction
causative organisms of TSS
staph aureus is most common; GABHS also
diagnostic criteria for TSS
fever greater than 101; hypotension; diffuse macular erythroderma; desquamation; multisystem involvement; neg culture of blood, CSF, and pharynx (except for pos blood culture for staph)
viral causes of diarrhea
rotavirus and norwalk virus
rotavirus
most common cause of viral gastroenteritis; winter months
how is rotavirus spread
fecal oral
incub for rotavirus
1-3 days
clinical features of rotavirus
may be asymp or may have vomitting, diarrhea, and dehydration; diarrhea is self limited and lasts 4-7 days. Sx of URI may sometimes be present
diagnosis for rotavirus
pos stool ELISA; WBCs are absent fro the stool
management of rotavirus
supportive
norwalk virus spread
fecal oral
norwalk virus what populations?
closed popuation like day care centers, schools, cruise ships
