Measles! Macular papular rash head down Koplik spots
Conjunctivitis Fever, cough, coryza Most contagious 5 days before
and 5 days after rash Think if patient is not immunized
German Measles Low grade fever, rash, occipital LAD Mild viral
illness unless you are PREGNANT
Slide 6
Fever, runny nose then develops this itchy rash. Started on
trunk and then spread all over.
Slide 7
Slide 8
Rash starts at trunk and spreads out Superficial vesicles,
pustules and crusts in varying stages Vesicles with red halos
Contagious few days before the rash, until it crusts (7-10 days)
Complications Secondary skin infections Disseminated Viremia,
pneumonia, encephalitis
Slide 9
A baby is considered exposed if: Mom gets chickenpox 5 days
before to 2 days after delivery Treatment VZIG
Slide 10
Fever, sore throat, runny nose. Adenovirus
Slide 11
Conjunctivitis, pharyngitis, adenopathy Also cause GI illness
More common in summer Preauricular LAD
Slide 12
My child has bumps and they hurt!!
Slide 13
Slide 14
Erythema infectiosum Parvovirus B19 Starts with fever, sore
throat, runny nose, HA, malaise Then get slapped cheek rash Rash
can spread to extremities Diagnosis clinical (can get IgM
titers)
Slide 15
ROSEOLA
Slide 16
HHV 6 3-5 days of high fever Rash after fever resolves Can be
associated with febrile seizures Diagnosis - Clinical
Acquired Presents like mono Treat immunosuppresed - Gancyclovir
Congenital HEARING LOSS - sensorineural Mental retardation
Hepatomegaly Chorioretinitis Cerebral calcifications
(periventricular) Thrombocytopenia (blueberry muffin) Diagnosis:
urine culture in first 3-4 weeks of life - definitive
Slide 20
Slide 21
HSV-1 most common Affects skin and mucus membranes HSV-2
usually genital Presentation Grouped vesicular lesions, mucuosal
inflammation Diagnosis Clinical Tzank smear multinucleated giant
cells Culture PCR DFA
Slide 22
Slide 23
Call Optho!! Keratoconjunctivitis can cause permenant visual
impairment.
Slide 24
Excema Herpeticum lesions can develop into pustules and can
become hemorrhagic. Treat IV Acyclovir
Slide 25
Slide 26
Slide 27
THINK: If the question says immigration, adoption or no
vaccines!!!
Slide 28
Paramyxovirus Usually have bilateral parotid gland swelling
Fever, HA, malaise Can also have swelling of testicles
Complications: Meningitis/encephalitis Orchitis doesnt usually
result in infertility Pancreatitis
Think seizure in newborn Esp if temporal lobe Usually mom has
no history of lesions Sepsis, meningitis, seizures Negative gram
stain - elevated WBC, elevated protein Diagnosis HSV PCR
CHECK FOR HIV *also think about DM, but this is ID Board
Review.
Slide 34
PCP in AIDS patient Hypoxia Bactrim for prophylaxis Ground
Glass
Slide 35
Slide 36
Slide 37
Think when you have chronic nonspecific symptoms Wt loss,
fever, night sweats, FTT, thrush! Testing Start with ELISA Confirm
with Western Blot
Slide 38
Dramatically reduce transmission by AZT treatment during
pregnancy Testing DNA PCR Birth 2 months 4 months 6 months
Slide 39
Fox, bats, raccoons, skunks, ferrets Raccoon is common in US If
baby in room with bat have to treat Treatment Dont need to treat if
can watch animal HRIG if highly suspect If havent had previous
immunization Vaccine 5 doses
Slide 40
Most common cause of bronchiolitis in infants Infant with
wheeze, retractions, tachypnea, fever, and URI symptoms CXR diffuse
infiltrates and hyperinflation Diagnosis Treatment Supportive
Albuterol trial What is the best way to prevent? Hand washing
Slide 41
Fever, watery diarrhea, and vomiting Commonly causes
dehydration Diagnosis Antigen test of stool Treatment
supportive