Pediatric Infectious Disease CASE STUDY PHOTOS

1
Pediatric Infectious DiseaseCASE STUDY PHOTOS

• Pisespong Patamasucon, MD

2
Bordella Pertussis
3

• 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

4
Pertussis (Whooping Cough)
5

• 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.

6
MRSA Cellulitis
7

• How do you plan to treat?
• Oral TMP/SMZ, oral Clindamycin, oral
  Doxycycline if gt 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

8
Cavernous Sinus Thrombosis
9

• Name 3 serious complications of orbital
• infection.
• Cavernous sinus thrombosis
• Meningitis
• Blindness

10
Bone involvement in Congenital Syphilis
11

• 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

12
Congenital Herpes
X X XX X
X X XX X
X
X X
X
X
13

• 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

14
Ecthyma Gangrenosum
15

• 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

16
Meningococcemia
17
Meningococcemia
18

• Name 3 bad prognostic signs/symptoms/labs
• Leukopenia
• Thrombocytopenia
• Shock
• Name 1 good prognostic sign/symptom/lab
• Meningitis

19
Mumps
20
Mumps
21

• 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

22
Scarlet Fever
23
Strawberry Tongue in Scarlet Fever
24

• Name 3 characteristics of scarlet fever
• Pastia sign
• Scarlatiniform rash (sand paper-like)
• Circum oral pallor
• Strawberry tongue
• Desquamation of the skin

25
Varicella
26
Varicella
27

• Name 3 complications of this condition
• Secondary bacterial skin infection
• Necrotizing fasciitis
• Pneumonia
• Cerebellar ataxia

28
Herpangina
29
Herpangina
30

• Name the etiologic agent
• Coxsackie virus
• What is a rare but deadly complication?
• Myocarditis

31
Herpes Stomatitis
32
Herpes Stomatitis
33

• Should you exclude the patient from school?
• No, if the patient can control the oral
  secretion

34
Neonatal Tetanus
35

• What cause this syndrome?
• C. tetani
• How do you treat?
• Antispasm diazepam
• Quiet room
• Penicillin
• Tetanus Immunoglobulin (TIG)

36
Rotavirus
37
Rotavirus
38

• What is the major concern of rotavirus vaccine?
• Intussusception