Pediatric Infectious Diseases

Front 1

Lyme Disease
Clinical Presentation

Back 1

Stage 1: Erythmea Migrans (Bullseye) Rash

Fever, malaise, headache, arthralgia and stiff neck.

Stage 2: Headaches or stomachaches. Infection of the spleen, eyes, liver, CNS may occur.

Stage 3: Arthritis typically in the knees.

Front 2

Lyme Disease
Diagnostic Studies

Back 2

3 main indications for diagnostic testing is: Erythema Migrans, Facial Nerve Palsy and Arthritis.

Serological testing includes ELISA, IgM and IgG testing; if positive western blot test must be done.

Front 3

Lyme Disease
Treatment

Back 3

Doxycycline or Amoxicillin 1st line of treatment.

• Less than 8 yr old: Amoxicillin
  
• 8 yr or older: Doxycycline
  
• If unable to take above: Cefuroxime
  

DEET to prevent tick bites.

Front 4

Nonpolio Enteroviruses

Back 4

Grouped into Human enteroviruses ABCD, Hand-foot-mouth, herpangina, pleurodynia, acute hemorrhagic conjunctivitis, myocarditis, pericarditis, pancreatitis, orchitis,dermatomyositis-like syndrome are manifestations of the infection.

Front 5

Nonpolio Enteroviruses Skin

Back 5

Rash may be macular, macular-papular, urticarial (Hives), or petechial.

May look like rash from meningitis, measles or rubella.

Front 6

Nonpolio Enteroviruses: Herpangina

Back 6

Often caused by group A coxsackie viruses.

Sudden high fever (up to 106) lasting 1 to 4 days. Loss of appetite, sore throat, dysphagia, vomiting and abdominal in some cases.

Tiny vesicles appear on the mucous membranes in the mouth.

Usually last 3-7 days with complete recovery.

Front 7

Nonpolio Enteroviruses: Hand-foot-mouth

Disease

Back 7

Evidenced by fever, vesicular eruptions of the buccal mucosa of the mouth and a maculopapular rash involving the hands and feet.

Rash evolves to vesicles and lasts 1-2 weeks.

Very painful rashes.

Front 8

Nonpolio Enteroviruses Management

Back 8

Supportive therapy.

Front 9

Scarlet Fever

(GABHS)

Back 9

Pharyngitis

Sand paper rash, often on the groin.

Don't usually have a cough or runny nose.

Front 10

Scarlet Fever Treatment

Back 10

The gold standard is PCN, however it tastes horrible.

For children go with Amoxicillin.

If allergic prescribe Zithromax, no taper.