Infections Flashcards
Common Cold
Mx?
Educate parents
Para/Ibu
Sore throat, no cough, no fever
Pharyngitis
Viral
Severe sore throat, purulent exudates
Tonsilitis
Common pathogens
Group A Strep
EBV
Tonsilitis
Mx?
Abx - Pen or Eryth if allergic - even though only 1/3 are caused by bacteria. Give 10 days to prevent possible Rh fever.
If signs of airway obstruction - unable to swallow liquids, ADMIT
Avoid amox as may cause maculopapular rash with EBV
Severe Tonsilitis
2ndary Mx?
Tonsilectomy
- useful in recurrent tonsilitis
- presence of Quinsy - peritonsillar abscess
- Obs sleep apnoea (also remove adenoids)
Indication for Adenoidectomy
- Both tonsils and adenoids ↑size until Pt is 8. If growing faster than airway, then airway can be narrowed.
- Obs sleep apnoea
Other indications:
- Recurrent ottitis media with effusion with hearing loss
Painful vesicles on mouth, hard palate, lip and tongue and has been persisting for 2 weeks.
Herpes - causing gingivostomatitis
Offer acyclovir if child is having difficulty eating and drinking
Child with eczema develops vesicular pustules on affected areas, child has similar symptoms near mouth
Herpetic eczema
Child develops an oedematous white pustule on fingers which are painful.
Herpetic Whitlows
Complications, Ix and Mx for EBV
Pharyngeal swelling - airway obstruction is the main complication, otherwise self limiting disease
Mono spot
5% grow strep so can treat with penicillin but NOT amox
Similar symptoms to EBV but mono spot test is negative
CMV
As long as immuno strong, will be fine
Pt presents with flu like symptoms then a few days later - lacy maculopapular rash over trunk and limbs, as well as on cheeks. fever, malaise and myalgia
Parvovirus b19
5th disease - erythema infectiosum
If child already has haemolytic disorder or an immunodeficient, then may cause an aplastic anaemia!
Needs RBC and Ig resus if this happens.
