Bugs affecting unimmunized children

Question 1

Rubella

Answer 1

Rash: beginning at head and moving down with postauricular LAD

Question 2

Measles

Answer 2

Rash: beginning at head and moving down

Rash preceded by cough, coryza, conjunctivitis and blue white spots on buccal mucosa

Question 3

Meningitis

Answer 3

H influenza type B: microbe colonizes nasopharynx

Polio: can lead to myalgia and paralysis

Question 4

Pharyngitis

Answer 4

Corynebacterium diphtheriae: elabolates toxin that causes necrosis in pharynx, cardiac, and CNS tissue

Grayish oropharyngeal exudate

Question 5

Epiglottitis

Answer 5

H Influenza type B: also capable of causing epiglottis in fully immunized children

Fever with dysphagia, drooling, and difficulty breathing due to edematous cherry red epiglottis.