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afya
PaedInfection
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> ''Chicken Pox'' Initial fever but systemic upset often mild Rash - itchy, starts head/trunk and spreads, macular then papular then vesicular ''Measles'' Prodrome - confunctivitis, fever, irritable Koplik spots (rice grains) - buccal mucosa starts behind ears and spreads all over, initially macular-papular becoming blotchy and confluent ''Mumps'' fever malaise muscular pain parotitis - earpain, pain on eating - initally unilat but 70% become bilat ''Rubella'' rash - maculopapular pink, initially behind ears but spreads - fades by day 3-5 LN - suboccipital or post-auricular ''Parvovirus B19'' Erythema infectiosum, slapped cheek, 5th disease lethargy fever headache slapped cheek rash spreads to proximal arms and extensor surfaces ''Coxsackie B12'' Hand foot and mouth mild systemic upset with fever and sore throat vesicles - mouth, palms and soles ''Scarlet fever'' reaction to erythrogenic toxins from grpA haem strep rash - fine punctate erythema, sparing face fever, tonsillitis, malaise, strawberry tongue
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