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Pediatric Infectious Disease CASE STUDY PHOTOS. Pisespong Patamasucon, MD. Bordella Pertussis. How do you confirm your diagnosis? PCR of NP specimen Do you recommend that the patient be excluded from group setting? YES If your answer is “yes”, for how long?

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Pediatric infectious disease case study photos l.jpg

Pediatric Infectious DiseaseCASE STUDY PHOTOS

Pisespong Patamasucon, MD



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How do you confirm your diagnosis?

PCR of NP specimen

Do you recommend that the patient be

excluded from group setting?

YES

If your answer is “yes”, for how long?

Until 5 days after initiation of treatment



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How do you plan to take care of close contacts?

Less than 7 years without prior vaccination should have pertussis vaccine post exposure.

Chemomoprophylaxis for all household contact.



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How do you plan to treat?

Oral TMP/SMZ, oral Clindamycin, oral Doxycycline if > 7 years old

How do you manage if this is the 3rd round of

the infection?

Nasal (Bactoban) Mupirocin bid x 5 days, Clorox (Bleach) body bath 15 minutes twice/week



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Name 3 serious complications of orbital

infection.

Cavernous sinus thrombosis

Meningitis

Blindness


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Bone involvement in Congenital Syphilis


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What is the most common problem in this

disease in the USA?

Incomplete sepological follow up after treatment in the mother

How do you plan to diagnose and treat?

Non-treponemal test RPR, VDRL

Specific treponemal test FTA-ABS, MHA- TP


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Congenital Herpes

X

X

XX

X

X

X

XX

X

X

X

X

X

X


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When do you suspect congenital herpes?

Progressive pneumonia and liver impairment in less than 6-week-old infant with fever and seizure

How many forms of presentation of this

condition?

SEM

Disseminated

Encephalitis



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What is the main cause of this condition?

Pseudomonias aeruginosa

What is your choice of therapy? Name 3

Ticarcillin or timentin

Piperacillin or zosyn

Cefepime or ceftazidime

Aminoglycosides




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Name 3 bad prognostic signs/symptoms/labs

Leukopenia

Thrombocytopenia

Shock

Name 1 good prognostic sign/symptom/lab

Meningitis




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How do you diagnose this condition?

Clinical and serum amylase and serology

How long before the patient can go back to

school?

9 days after onset of swelling




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Name 3 characteristics of scarlet fever

Pastia sign

Scarlatiniform rash (sand paper-like)

Circum oral pallor

Strawberry tongue

Desquamation of the skin




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Name 3 complications of this condition

Secondary bacterial skin infection

Necrotizing fasciitis

Pneumonia

Cerebellar ataxia




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Name the etiologic agent

Coxsackie virus

What is a rare but deadly complication?

Myocarditis




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Should you exclude the patient from school?

No, if the patient can control the oral secretion



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What cause this syndrome?

C. tetani

How do you treat?

Antispasm – diazepam

Quiet room

Penicillin

Tetanus Immunoglobulin (TIG)





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