Sohil Rangwala

What could it be?

VaricellaVZV virusUsually less than 10 years of ageSignificant decrease in incidence since

vaccineSpread by droplets or open soresFever, malaise, diarrhea, URI sx10-21 incubationSymptomatic treatment

Rare..but it happens!

MeaslesHighly contagiousfever, conjunctivitis , cough, coryza and

characteristic Koplik spots (small white spots in the mouth)

Between day 3 and 7 red blotchy rash. non-itchy rash begins on face and behind the

ears. Within 24-36 hours it spreads to the entire trunk and extremities

No treatment- but immunize!Complications: OM, Pneumonia,

glomerulonephritis, SSPE

Rubella(German Measles)Very rareSpread through direct contact with nasal or

throat secretionsOnly significant if pregnantSlight fever, sore throat, runny nose and malaise Then begins on the face that spreads to the

neck, trunk and extremitiesAppear as pink or light red spots about 2-3mm

in sizeNo treatment- worry is congenital rubella! Congenital Rubella is major concern

RoesolaCaused by HHV 6 and HHV 7characterised by high fever lasting for 3-5

days, runny nose, irritability and tiredness. As the fever subsides, rash appears on the face and body.

Most common 6mos to 3 years• Typically small pink or red raised spots (2-5 mm in

diameter) that blanch when touched • Starts on trunk and may spread to involve the

neck, face, arms and legs • No specific treatment

Parvovirus B19 (Fifth’s disease)first sign of fifth disease is firm red cheeks,

which feel burning hot. A rash follows 1 to 4 days later with a lace or network pattern on the limbs and then the trunk

Can have slight fever, uri and headache as prodrome

Once rash develops, no longer infectiousConcern if exposure during pregnancyNo specific treatment

Scarlet Fevermostly in children aged 4-8 yearsGAS is main culpritsudden fever, sore throat, swollen neck glands,

headache, nausea, vomiting, loss of appetite, swollen and red strawberry tongue, abdominal pain, body aches, and malaise

rash appears 12-48 hours after the start of the fever and starts below the ears, neck, chest, armpits and groin before spreading to the rest of the body over 24 hours

Sandpaper appearanceTreatment: treat GAS!

Meningitis=BADcaused by Neisseria meningitidisfever, headahces, stiff neck, nausea,

vomiting, decreased feedsPetechiae (rash of small red or purple spots

that do not disappear when pressure is applied to the skin) occur in 50-75% of cases

Rash may progress to larger red patches or purple lesions (similar to bruises)

In severe cases lesions may burst and lead to necrosis

Early recognition is key!

Referenceshttp://www.dermnetnz.org/viral/viral-exanthe

m.htmlwww. Utdol.com