Wk 17: Paediatric infectious diseases Flashcards
What causes impetigo?
Staphylococcus aureus or streptococcus pyogenes
What is the presentation of impetigo?
- Small red lesions
- Weep
- Form yellow crust
What is the OTC treatment for impetigo?
Hydrogen peroxide 1% (BD/TDS for 5 days)
What is the counselling points for impetigo?
- Use own face towel
- Keep away from school until rash clears
What are the symptoms of slapped cheek syndrome?
- Fever 38
- Ruuny nose
- Sore throat
- Headache
- Upset stomach
- Generally unwell
What causes slapped cheek syndrome?
Parvovirus b19
How contagious is slapped cheek syndrome?
Not contagious once rash appears - 4-14 days after infected
What is hand, foot + mouth?
- Causes mouth ulcers + spots on hands + feet
- Clears up w/in 7-10 days
- Develops 3-5 days after exposure
What are the symptoms of scarlet fever?
- Flu like symptoms
- High temp
- Sore throat + swollen neck glands
- 12-48hrs later: rash on chest (sandpaper)
- White coating on tongue peels leaving it red, swollen + covered in bumps
How long does the symptoms of scarlet fever last and is it infectious?
- Symptoms last 1 wk
- Infections 6 days before symptoms until 24hrs after 1st antibiotic
- No antibiotic: 2-3 wks after symptom
What is the treatment for scarlet fever?
- Pen V QDS 10 days
- Drink cool fluids
- Eat soft food if sore throat
- Paracetamol for fever
- Calamine lotion/antihistamine for itching
What are the symptoms of measles?
- Spread by droplet inhalation/contact
- Prodromal period: severe flu + conjunctivitis
- Develop white spots inner cheek + gums (koplik spots)
- Rash behind ears + hairline moving down trunk
Would you refer measles?
Yes
What are the symptoms of german measles/rubella?
- Cold like w/ lymphadenopathy (usually asymptomatic)
- Rash doesn’t spread head downwards
- Not as contagious
- Dangerous in early pregnancy
What causes chickenpox?
Varicella zoster