ENVS 3101 Lecture Notes - Lecture 8: Maculopapular Rash, Congenital Rubella Syndrome, Cervical Lymph Nodes
Document Summary
Seasonal with increased incidence in late winter and early spring. Isolation at home until lesions are crusted over. Rest, relef of itching and prevention of bacterial skin infection. Vaccine contraindicated in immunosuppressed, pregnant, and recent blood recipients. Flu-like symptoms with sore throat, fever, swelling of cervical lymph nodes and larynx with potential respiratory distress. Characterized by formation of gray asymmetrical tenacious membrane on tonsils and pharyngeal walls. Isolation until two negative throat cultures or 24 hours after antibiotics completed. Increased risk seen with close and prolonged contact and in travel to areas with his disease rates. Can lead to permanent hearing loss, neurological damage, loss of phalanges and limbs, death. People who have had close contact with the disease should receive prophylactic antibiotics and booster if inadequately immunized. Paroxysmal: numerous rapid coughs followed by high-pitched inspiratory whoop Vomiting, small scleral and conjunctival hemorrhages caused by severe coughing. Infants younger than 1 year are most severely affected with asphyxia possible.
