By Frank E. Berkowitz
This e-book gains 121 case stories meant to supply an method of the prognosis and therapy of pediatric infectious ailments. There are 3 sections: the 1st discusses the rules of diagnosing infections, utilizing epidemiology, microbiology, and scientific drugs, whereas additionally discussing the foundations of remedy; the second one, constituting the middle of the publication, comprises case stories. a quick case state of affairs, designed to problem the reader to determine the reply, is via a dialogue of the case. The 3rd part comprises tables and lists approximately infectious brokers and their epidemiology.
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Extra resources for Case Studies in Pediatric Infectious Diseases
Time of infection Antigen Viral capsid antigen (VCA) IgM VCA IgG Early antigen (EA) Epstein–Barr nuclear antigen (EBNA) Current Test result Recent (weeks) Past + + + À +/À + +/À +/À À + À + (iv) PCR: the detection and quantitation of EBV DNA in the patient’s blood has made it possible to examine progression of disease and response to management in immunocompromised patients, such as those who have had transplants, and are suspected of having posttransplant lymphoproliferative disease (PTLD). (v) although the virus can be cultured in vitro, this cannot be done in most diagnostic laboratories.
Other cutaneous lesions that can resemble HSV vesicles are (i) varicella – this is a generalized rash; (ii) bullous impetigo due to Staphylococcus aureus. These are larger than herpetic vesicles, are often in different parts of the body, and a Gram stain of a smear of the lesion fluid shows numerous polymorphonuclear leukocytes and Gram-positive cocci in clusters. (iii) Candida infection – these are usually confined to the diaper area and inner thighs, and a Gram stain of fluid from the lesions shows yeasts.
4. Chest X ray showing perihilar infiltrates due to measles pneumonia. Because histologically this demonstrates syncytial cells (see below), it is called measles ‘‘giant cell’’ pneumonia. The patient with measles is susceptible to secondary infection of the lung due to the denuded respiratory epithelium and immunosuppression. Hospitalization further exposes the patient to a variety of pathogens that might be highly antibiotic resistant. 5). Tuberculosis can also be reactivated during measles. Case Study 2 21 FIG.