Pediatric Infectious Disease

What causes most pediatric infections?

viruses

What can viruses predispose kids to?

secondary bacterial infections

What are the #1 causes (there are 2) of secondary bacterial infections, especially ENT/respiratory?

sinusitis and pneumonia

What should not be given for coxsackievirus (A&B)?

ASA

What is the other name for roseola infantum?

sixth disease

What can the fever in roseola infantum present like?

very high (105 F) with abrupt onset

What is there a strong association of in roseola infantum?

febrile seizures (10%)

How is roseola infantum diagnosed?

clinical

What is the other name for erythema infectiousum?

fifth disease

What is the etiology of erythema infectiosum?

viral illness caused by Parovirus B19

What is the main treatment for erythema infectiosum

symptomatic care only unless complications develop

What is the etiology of VZV?

a type of human herpes virus

When are patients no longer contagious in VZV?

once all lesions crust over

How is the rash in VZV described?

dew-drop on rose petal

What is a major characteristic of the rash in VZV?

intensely pruritic

How does the shingles rash present?

dermatomal

What should not be used in VZV treatment?

ASA/salicylates as an antipyretic

What is the biggest complication from Zoster (HZV)?

poste-herpetic neuralgia (PHN)