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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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Presentation Transcript
slide3
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

slide5
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.

slide7
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

slide9
Name 3 serious complications of orbital

infection.

Cavernous sinus thrombosis

Meningitis

Blindness

slide11
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

congenital herpes
Congenital Herpes

X

X

XX

X

X

X

XX

X

X

X

X

X

X

slide13
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

slide15
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

slide18
Name 3 bad prognostic signs/symptoms/labs

Leukopenia

Thrombocytopenia

Shock

Name 1 good prognostic sign/symptom/lab

Meningitis

slide21
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

slide24
Name 3 characteristics of scarlet fever

Pastia sign

Scarlatiniform rash (sand paper-like)

Circum oral pallor

Strawberry tongue

Desquamation of the skin

slide27
Name 3 complications of this condition

Secondary bacterial skin infection

Necrotizing fasciitis

Pneumonia

Cerebellar ataxia

slide30
Name the etiologic agent

Coxsackie virus

What is a rare but deadly complication?

Myocarditis

slide33
Should you exclude the patient from school?

No, if the patient can control the oral secretion

slide35
What cause this syndrome?

C. tetani

How do you treat?

Antispasm – diazepam

Quiet room

Penicillin

Tetanus Immunoglobulin (TIG)