HSV Chicken Box Measles الحصبة
Mostly asymptomatic Primary varicella zoster Measles morbilli-virus
Type 1 oral Type 2 genitalia - Incubation 9-21 days CCC : Coryza + Cough + Conjunctivitis
-fever, malaise, anorexia Fever
- Very infectious Rash: start behind ear and spread downward
-Non –infectious when become crusted
Gingivostomatitis: Eczema
herpeticum:
Vesicular lesion on lips,
tongue,hard palatepainful Vesicular lesion on
eating and drinking eczematous skin
dehydration
Herpetic whitlow: *Conservative - Bacterial
Painful, *IVIG superinfection
erythematous, toxic shock
Immune-compromised syndrome,
edematous white
Patient on steroid necrotizing
pustules on fingers
Neonate fasciitis
Blepheritis: Conjunctivitis:
Shingles *hospitalization & isolation
IV Acyclovir Herpes zoster *Conservative
Grouped
In first 3 days of fever *Ribavirin
erythematous
Encephalitis painful Immune-compromised
Pneumonia macules/papules
along single sensory Pneumonia, seizure, diarrhea, hepatitis,
Disseminated infection dermatome appendicitis, corneal ulcer
Rubella الحصبة األلمانية Kawasaki Slapped cheek syndrome
Rash is the first sign : maculopapular on Inflammation of medium vessels . < 5 Y/O
face then spread to the whole body 5th disease
Erythema infectiousom
Lymphadenopathy: occipital, sub-occipital, Parvovirus B19
Post auricular Fever, malaise, headache slapped cheek
peeling
maculopapular (lace like) rash on body
- In school age. -Common in girls
Strawberry tongue
Irritability, BCG site induration
forchheimer spots: *High dose Aspirin – 30-40mg/kg/day
Lifelong – then low dose *Conservative Tx
*IVIG
Arthritis
*Echo – when diagnosed & after 4-6 wks -Aplastic crisis – in children with chronic
Encephalitis
hemolytic anemia or immune-deficient
Myocarditis Aneurysm – coronary arteries
-Fetal death if vertical transmission
# Congenital infection MI
Scarlet Fever Roseola infantum Infectious mononucleosis
DDx of Kawasaki < 1 Y/O EBV
Group A strep. Pharyngitis HHV-6, 7 Post Abx use
Sore throat, headache, fever, Start with flu-like symptoms and fever Tonsillitis—very exudative
then when fever start to decrease, the rash Enlarged LN
Cicumoral pallor will appear
White coated tongue Strawberry tongue Snoring – enlarged adenoid
Maculo-papular rash
Sand paper rash Not itchy—to differentiate it from drug
allergy
Later: extremities skin peeling
50%- splenomegaly, 10%-hepatomegaly
*Conservative Tx
*Penicillin ~ 10 days *Conservative Tx
HSP Mouth- hand- feet Dermato-myositis
Inflammation of small blood vessels Systemic disease due to angiopathy
syndrome
3 – 10 Y/O 5 – 10 Y/O
Coxsackie virus A16 – enterovirus 71
Preceded by URTI Fever, rash – involve extensor of joints
Proximal muscle weakness
Periorbital edema
*Conservative Tx
*Paracetamol
*NSAID *Corticosteroid
*Hydration *Physiotherapy
*MTX-maybe needed
Lyme disease
Borrelia burgdorferi
Hx of travelling to UK
Transmitted by hard tick
1st erythema migrans
Then fever, arthralgia, lymphadenopathy
Malaise, myalgia
Arthritis most large joints
Meningo-encephalitis
Facial nerve involvement
Myocarditis
Serology may be negative in early disease
Tx:
Doxycycline
Amoxicillin for <12 y/o
IV ceftriaxone if carditis or neurological
disease
Maather Al Abri