19. What ao the characteristic symptoms of roseola infantum (HHV-6)? ‘Sudden, high fever (exceeding 102° F) for 3-4 days Child has no other signs of infection and often acts/plays normaly Rah that eppeare when fever daspates and starts onthe trunkthen spreads over entre body and laste ours ‘ther common findings: erythematous papules on soft palate and uvula, mild cervical LAD, edematous eyelids, bulging anterior fontanel in infants Commonly misdiagnosed as acute otitis media and subsequent antibiotic allergy! 20. What is the treatment for roseola infanturn? Other Childhood Infections 24, What is the differential diagnosis for cervical lymphadenitis in a child? if acute and bilateral -> usually viral = URIs: Rhinovirus, Adenovirus, influenza, group A strep. = Mono: EBV, CMV, Mycoplasma Other viruses: HIV, HSV tf acute and unilateral -> usually bacterial (Staph. aureus, group A strep, > anzerobes, GBS) WW chronic and unilateral: = Bartonelia henselae ~> cat scratch fever - Toxoplasmosis - TB serofula = Actinomyces israeli -> sinuses drain pus Noninfectious causes (much less common): Kawasaki's syndrome, Hodgkin's lymphoma 22, Whats PEAPA syndrome? Benign 4-5 day syndrome consisting of Periodic Fever, Aphthous ulcers, Pharyngitis, and Adenitis, = Occurs monthly (428 days) = Exclusion criteria include neutropenia, cough, coryza, diarthea, severe abdominal pain, rash, arthritis, and neuro defects Usually affects preschool-aged children (2-5 year olds) Benign, self-limiting disease Treatments - Glucocorticoids relieve symptoms in a matter of hours = Cimetidine may be used for prevention of episodes but is of questionable efficacy Average duration of recurring symptoms is 4.5 years 23, What are the classic symptoms of pertussis? Incubation 7-10 days Catarthal stage (7-10 days): mild URI symptoms Paroxysmal stage ): paroxysms of cough with inspiratory whoop that is worse at night and often with post-lussive emesis and exhaustion =~ Often confused with acute bronchitis Convalescent stage (2-3 weeks): waning of symptoms. 24. What is the treatment for pertussis? Antibiotic choices: (6 days), erythromycin (14 days), clarithromycin (7 days), TMP- SMX (14 days) Prophylaxis for close contacts (full course of one of the above antibiotics) Isolation from school/day care until 5 days of antibiotics has been completed or thrae weeks after the onset of symptoms in untreated patients Hospital admission (with isolation) indications for chikiren with pertussis: = Respiratory distress = Pneumonia = Inability to feed + Cyanosis or apnea (with or without coughing) + Seizures Stop 2 ~ Podiatios Copyright © 2011, Doctors inTraining.com, LLC, Al Rights Reserved