Paediatric skin infections

Averil Tam
Flashcards by Averil Tam, updated more than 1 year ago
Averil Tam
Created by Averil Tam about 2 years ago
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8.1 2018
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1. TRUE/FALSE regarding herpes simplex infection? A. Infection is usually more severe in children. True. Infection is usually more severe in children as it is often a primary infection.
1. TRUE/FALSE regarding herpes simplex infection? B. Lesions in the perineal area are usually due to child abuse. False. Lesions in the perineal area are usually caused by self inoculation or inoculation by others when changing nappy etc. However always keep in mind the possibility of child abuse as well.
1. TRUE/FALSE regarding herpes simplex infection? C. May cause a severe skin infection in children with eczema. True. Herpes simplex may cause a severe skin infection in children with eczema termed eczema herpeticum. This usually requires hospital admission and intravenous acyclovir as it can lead to significant systemic toxicity.
1. TRUE/FALSE regarding herpes simplex infection? D. A scalloped edge would make you suspect bacterial infection. False. A scalloped edge is typical of the skin lesions seen with herpes simplex infection. Lesions can also appear haemorrhagic or be associated with significant oedema of the affected area.
2. TRUE/FALSE regarding warts? A. Warts are caused by a Papilloma virus. True
2. TRUE/FALSE regarding warts? B. Warts are a self resolving condition. True
2. TRUE/FALSE regarding warts? C. Perineal warts are a strongly suggestive of child abuse. True
3. TRUE/FALSE regarding fungal skin infection? A. Lesions can be solitary. True. Lesions can be solitary. Always consider the possibility of fungal infection in case of unilateral, solitary and/or annular lesions.
3. TRUE/FALSE regarding fungal skin infection? B. Can be treated without diagnostic skin scraping – best to scrape any annular lesion. False. The lesions can be mimicked by several other conditions and it is best to confirm the diagnosis with a skin scraping for microscopy and fungal culture prior to commencing antifungal therapy. Most lesions will require oral antifungal therapy for four weeks and not respond to topical antifungal treatment.
3. TRUE/FALSE regarding fungal skin infection? C. Kerion is a systemic infection which makes children systemically unwell. False. Kerion refers to a localised scalp infection characterized by a boggy, pustular swelling of the affected area. It does not cause systemic toxicity.
3. TRUE/FALSE regarding fungal skin infection? D. Fungal skin infections respond well to topical steroids. False. Fungal infections do not respond to topical steroids. In fact the topical steroid ointment will make the fungus proliferate more.
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