childhood viruses

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  • 8/12/2019 Childhood Viruses

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    Name Family Signs and Symptoms

    Respiratory Syncytial

    Virus

    Similar to common cold with sig.

    rhinorhea, respiritory difficulty,

    wheezesare a common sign.

    Affects most kids before the age

    of two

    Measles

    Characterized by a

    maculopapular rashthat starts

    on face and spreads. Initial

    symptoms 2-3days before rash

    (prodrome) includes coldlike

    symptoms, fever >40, Koplik

    Spots

    Mumps

    2-3 week incubation leading to

    generalized malaiseand fever.

    Swollen parotid glands

    Parainfluenza

    Similar to RSV, but often

    associated with Croup(swelling

    of the throat that interferes

    with breathing and causes

    cough, stridor, hoarseness).

    Affects boys more than girls

    Rubella Togavirusmildfever, pink rash, swollen

    lymph nodes, 2 week incubation

    Human Bocavirus Parvoviridae

    cold symptoms, diarrhea, rash,

    conjunctivits (similar to

    adenovirus)

    human metapneumonia

    virusParamyxoviridae similar to RSV

    Paramyxoviridae

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    Prevention/Treatment

    Supportive care with O2 and

    fluids. Infected children must be

    isolated.Ribavirin works for some

    reason for kids with pre-existing

    conditions. Palivizumab is a

    monoclonal antibody that binds F

    ptn and prevents fusion

    Maternal antibodies protect until

    6 mos. Effective live attenuated

    vaccine (MMR) that should be

    given between 12-15 mos and

    then again around 4-6 yrs. Doesn't

    count if it is before 12 mos. Give

    immunogobulin to exposed kiddos

    who haven't been vaccinated.

    live attenuated vaccine, but living

    with immune suppressed is not a

    contraindication (being immune

    suppressed still is)

    Nebulized steam helps with the

    symtpoms

    live attenuated vaccine

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