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?
Pisespong Patamasucon, MD
PCR of NP specimen
Do you recommend that the patient be
excluded from group setting?
If your answer is “yes”, for how long?
Until 5 days after initiation of treatment
Less than 7 years without prior vaccination should have pertussis vaccine post exposure.
Chemomoprophylaxis for all household contact.
Oral TMP/SMZ, oral Clindamycin, oral Doxycycline if > 7 years old
How do you manage if this is the 3rd round of
Nasal (Bactoban) Mupirocin bid x 5 days, Clorox (Bleach) body bath 15 minutes twice/week
Cavernous sinus thrombosis
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
Progressive pneumonia and liver impairment in less than 6-week-old infant with fever and seizure
How many forms of presentation of this
What is your choice of therapy? Name 3
Ticarcillin or timentin
Piperacillin or zosyn
Cefepime or ceftazidime
Name 1 good prognostic sign/symptom/lab
Clinical and serum amylase and serology
How long before the patient can go back to
9 days after onset of swelling
Scarlatiniform rash (sand paper-like)
Circum oral pallor
Desquamation of the skin
Secondary bacterial skin infection
What is a rare but deadly complication?
No, if the patient can control the oral secretion
How do you treat?
Antispasm – diazepam
Tetanus Immunoglobulin (TIG)