Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

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Eczema Vaccinatum

Transcript of Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

Page 1: Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

Eczema Vaccinatum

Page 2: Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

Eczema Vaccinatum

Page 3: Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

Eczema Vaccinatum

Page 4: Eczema Vaccinatum. Progressive Vaccinia Enlarged Site vs PV Large Reaction Differentiation.

Eczema Vaccinatum

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Progressive Vaccinia

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Progressive Vaccinia

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Enlarged Site vs PVLarge Reaction Differentiation

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Enlarged Site vs PVLarge Reaction Differentiation

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Progressive Vaccinia

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Post-Vaccinial EncephalitisDiagnosis

Cerebral or cerebellar dysfunction Headache Fever Vomiting Altered mental status Lethargy Seizures Coma

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Central nervous system lesions Cerebrum Medulla Spinal cord

Lumbar Puncture Increased opening CSF Monocytosis Lymphocytosis Elevated CSF protein

Post-Vaccinial EncephalitisDiagnosis

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Post-Vaccinial Encephalopathy Infants under 2 years Acute onset 6-10 days post-vaccination

Seizures Hemiplegia Aphasia Transient Amnesia Generalized cerebral edema Mild lymphocytic meningeal infiltration Widespread ganglion dengerative changes

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Post-Vaccinial Encephalomyelitis

Older than 2 years 11-15 days after vaccination

Fever Vomiting Headache Malaise Anorexia