Chickenpox
Signs and Symptoms - Fever and weakness;
red, itchy rash.
Chickenpox, also known as varicella,
occurs primarily in children, although adults who are not immune can contract
it. It is quite contagious and is spread by breathing in infected respiratory
droplets or coming into contact with the rash where it has ruptured. In persons
who have had chickenpox, the virus can cause shingles later in life.
The Diagnosis. The best-known symptom of chickenpox is the itchy,
red rash that breaks out on the face, scalp, chest, back and, to a lesser
extent, arms and legs. The rash usually appears about 2 weeks after exposure to
the virus and begins as superficial spots. The spots quickly fill with a
clear fluid, rupture, and turn crusty. These then slough off in a week or two.
The rash continues to break out for the first 1 to 5 days, so spots at various
stages of development may be present at the same time. Fever and malaise, mild
in children and more severe in adults, also develop.
How Serious Is Chickenpox? In children, chickenpox
is a mild disease, but in adults it is more serious. In adults, pneumonia may
develop, which can lead to death, although this is rare. In persons with
suppressed immune systems, the disease is very serious.
If a pregnant woman contracts chickenpox during the first or second
trimester, there is a small risk that her child will be born with a congenital
malformation. Chickenpox seldom
lasts for more than 2 weeks, from the appearance of the first rash to the
disappearance of the last one. Infection of the ruptured rash by bacteria may
cause scarring.
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Conjunctivitis
Signs and Symptoms - Redness in the eyes;
gritty feeling in the eye;
itching of the eye; discharge in the eye that forms a crust during the night;
blurred vision and sensitivity to light.
Conjunctivitis, commonly known as pinkeye,
is an inflammation of the transparent membrane (the conjunctiva) that lines the
eyelids and the eyeball up to the margin of the cornea. Conjunctivitis can be
caused by a bacterial or viral infection, by an allergic reaction, or, in
newborns, by an incompletely opened tear duct.
Both viral and bacterial conjunctivitis are common among children and are
extremely infectious. Conjunctivitis can spread through a whole classroom of
children in a matter of a few days.
The Diagnosis. All forms of conjunctivitis share certain
symptoms. The white of the eye becomes red or pink, and the eye feels gritty
when you blink. The eye also produces a yellowish discharge that forms a crust
during the night. This sticky crust can seal the eyes shut and you may have to
pry the lids gently apart or to soak off the crusts.
Viral conjunctivitis usually produces a small amount of watery discharge,
whereas bacterial conjunctivitis often produces a good deal of thicker matter.
How Serious Is Conjunctivitis? The inflammation of
conjunctivitis makes it an irritating condition, but it is usually harmless to
sight. However, because it can be highly contagious, it must be diagnosed and
treated early.
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Incubation
period 24
to 72 hrs after exposure
Signs
and Symptoms - Chills,
body ache, headache, fever, sore throat fatigue, followed by cough, runny nose
and possibly stomachache.
Influenza,
commonly called "the flu," is caused by
the influenza virus, which infects the respiratory tract (nose, throat, lungs). It is spread directly through coughing,
sneezing and contact with nose or throat discharges.
It may be spread through the air.
The Diagnosis: In general, the flu is worse than the common cold,
and symptoms such as fever, body aches, extreme tiredness, and dry cough are
more common and intense.
How
serious is the flu? Some
of the complications caused by flu include bacterial pneumonia, dehydration, and
worsening of chronic medical conditions, such as congestive heart failure,
asthma, or diabetes. Children may get sinus problems and ear infections as
complications from the flu. Those aged 65 years and older and persons of any age
with chronic medical conditions are at highest risk for serious complications of
flu.
Prevention:
Avoid close contact with people who are sick.
Cover your mouth and nose with a tissue
when coughing or sneezing. It may prevent those around you from getting sick. Washing
your hands often will help protect you from germs. Avoid touching your
eyes, nose or mouth. Germs are often spread when a person touches something that
is contaminated with germs and then touches his or her eyes, nose, or mouth.
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Incubation
Period: 1-3 days, rarely longer.
Signs and Symptoms - Strep
Throat: Fever, sore and red throat, pus spots on the back of the throat,
tender and swollen lymph nodes in the neck.
Scarlet Fever: Includes all symptoms that occur with strep
throat, as well as strawberry tongue and rash on the skin and inside the mouth.
High fever, nausea and vomiting may occur.
The rash on the skin is normally easily felt but not seen.
The tongue is usually white before the appearance of the strawberry
tongue.
Methods of Transmission:
Direct
or intimate contact with an infected person or carrier. Rarely, by contaminated objects or hands.
Outbreaks of strep throat may follow ingestion of contaminated foods,
such as milk, egg salad or deviled eggs.
Minimum Control Measures:
Communicable
Period: With antibiotic treatment, communicability is eliminated within 24
hours. Variable for untreated
cases. Can spread through mild,
unrecognized cases.
Other Information:
Medical
attention is essential. Untreated
children may develop severe complications, including rheumatic fever and
glomerulonephritis (kidney disease).
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(parvovirus
B19, erythema infectiosum)
Incubation
Period: 4-20 days, generally 7 days.
Signs and Symptoms: Marked redness of cheeks ("slapped-face"
appearance) that is often followed in 1-4 days by a red, lace-like rash on the
trunk and body. The rash might
appear to change or reappear for 1-3 weeks with exposure to sunlight or
increases in the environmental temperature, although not all infected persons
have a rash. Child may have a
slight fever or feel unwell. It is
estimated that about 50% of adults have had previous infection and are immune.
In adults the rash is often absent, but arthritis lasting for days to
months may occur. In 25% of infected adults, the person is asymptomatic
(without any symptoms). Immunodeficient
persons with infection may experience chronic anemia.
Methods of Transmission:
Primarily
from direct contact, droplet or airborne spread of respiratory secretions.
Rarely by transfusion of blood or blood products.
Vertically, from mother to fetus.
Communicable Period: The exact period is unknown, but children are
thought to be most infectious before the rash breaks out; the disease is not
communicable after the rash appears. Persons
with aplastic crisis (absence of normal cell development) are communicable up to
one week after the onset of symptoms. Immunosuppressed
patients may be infectious for months to years.
Proper hand washing and disposal of tissues
can help to lessen transmission.
Other Information: Some pregnant women have miscarried after becoming infected with
parvovirus B19. However, the risk
for this occurring is relatively low. Pregnant
women who subsequently find that they have been in contact with children during
the incubation period (4-20 days before signs or symptoms) may want to follow up
with their physicians to discuss the option of serological testing to determine
their immune status. Although women
who work primarily with children are at increased risk of infection, a routine
policy to exclude pregnant women from the workplace when parvovirus B19 is
occurring is not recommended. Occupational settings are not the only place where
transmission may occur. Prevention
methods to avoid infection include proper handwashing, teaching children to
cover their mouth when coughing, and disposal of tissues for respiratory
secretions.
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A
bacterial skin disease caused by step or staph.
Signs
and Symptoms:
Impetigo may affect skin anywhere on the body but commonly occurs in the area
around the nose and mouth. Impetigo
is characterized by blisters that may burst, ooze fluid, and develop a
honey-colored crust.
Impetigo may itch,
and it can be spread by scratching. The infection usually spreads along the
edges of an affected area, but may also spread to other areas of the body.
The Diagnosis:
Impetigo starts as a red sore that quickly ruptures, oozes for a few days and
then forms a yellowish-brown crust that looks like honey or brown sugar.
How serious is
impetigo? The
disease is highly contagious, and scratching or touching the sores is likely to
spread the infection to other parts of the body as well as to other people with
fingers that have been in contact with scratched, infected skin.
When someone has impetigo, the infection can spread to other household
members on clothing, towels, and bed linens that have touched the person's
infected skin. It can also be
spread among playmates or classmates who come in contact with infected skin.
Because
impetigo can sometimes lead to complications, your child's doctor may treat it
with an antibiotic ointment or oral antibiotics. Your child can usually return
to school as soon as he/she starts antibiotic therapy.
Prevention:
Practice good
hand washing habits. You
can help prevent the infection by taking good care of your child's skin.
Use soap and water when bathing your child, and pay special attention to
cuts, rashes, insect bites and allergic reactions.
If anyone in your family does develop impetigo, a few simple measures can
help keep the infection from spreading.
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Fungal
Infections
Signs and Symptoms - Itchy, red scaly, slightly raised, expanding
rings on the trunk, face, or groin/thigh fold; itchy, red, soggy, flaking, and cracking skin between toes;
itchy, fluid-filled bumps on sides or sole of your
feet.
Extreme dryness with small, white scales on the sides or sole of your
foot or the palm of your hand;
Itchy,
red or grayish, scaling patches on the scalp with partial baldness or broken
hairs. Red,
moist, well-marked patches, rimmed with small, red bumps in armpits, navel,
groin or between fingers or toes;
Reddened
areas with white patches inside the mouth or cracks at the mouth corner.
Small, slightly scaling, pale patches on the upper
body, neck, or face.
Fungal infections (one of which is ringworm)
are caused by microscopic plants that become parasites on your skin.
Your body hosts a great variety of microorganisms including mold- and
yeast-like fungi. Some serve useful
purposes, or cause no problems. Others
can proliferate as infectious colonies. Athlete's
foot, jock itch and ringworm of the skin or scalp are caused by mold-like
fungi called dermatophytes. These
fungi live on dead tissues of your hair, nails, and the outer layer of your
skin. Your susceptibility to
infection by them is increased by poor hygiene, continually moist skin, and
minor skin or nail injuries. Ringworm
often affects children. The
characteristic rings may be irregular and can expand beyond the scalp.
The ring grows outward as the infection spreads and the central area
becomes less actively infected. This type of infection is very contagious and
can be passed from shared hats, combs or brushes and barber tools. It is also
possible to be infected with scalp or skin ringworm from pets or domestic
animals.
The Diagnosis. Skin changes associated with fungal infections
often are quite specific. Thus,
your physician may only need to examine your skin to make the diagnosis.
At other times, it will be necessary to obtain material from the lesion
for laboratory analysis.
How Serious Are Fungal Infections?
These infections are rarely life-threatening.
They can range from mild to severe attacks and often persist or recur. Treatment is generally successful, but long-term medication
and continued use of preventive measures may be required, particularly for
infections in your nails.
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Signs and Symptoms - Itching at
night; thin,
pencil-like lines on your skin. In
scabies, tiny mites, almost impossible to see without a magnifying glass, cause
severe itching. Usually the itching
is worse at night. Found worldwide
among all groups of people and at all ages, they often infest an entire family.
Scabies is highly contagious and is spread by close physical contact and,
less often, by sharing clothing or bed sheets with an infested person.
Canine scabies can be transmitted from dogs to humans.
The Diagnosis. Scabies
prefer to burrow into certain areas of the skin, such as between your fingers,
in your armpits, around your waist, along the insides of your wrists, on the
back of your elbows, on your ankles and soles of the feet.
They form a characteristic burrow that looks like a thin, irregular
pencil mark. Your physician will
look for such a burrow and will remove the mite located at the end of one to
confirm the diagnosis. Although not serious, scabies is very annoying.
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Signs and Symptoms - Fever, cough,
sneezing, swollen eyelids, sore throat, tiny white spots on the lining of the cheek, rash.
Measles, also known as rubeola, is a
common childhood illness, although adults also are susceptible.
The virus that causes the disorder is transmitted by inhalation of
infecting droplets such as from a sneeze. Measles
are most contagious before the rash appears, making it difficult to avoid the
disease; until the rash disappears you still can pass it on to others.
Once you have had measles, you are permanently immune and will not
contract the disease again.
The Diagnosis. Measles begins as a fever, often as high as 104
degrees F to 105 degrees F, with a persistent cough sneezing, and sore throat.
After about 4 days, a red blotchy rash appears on the face and behind the
ears. The rash spreads to the chest and back and, finally, to the
arms and legs. By the time it
reaches the arms and legs, it has begun to fade from the face.
The symptoms usually appear 10 to 14 days after exposure to the virus.
The diagnosis ordinarily is made on the basis of the characteristic rash
and the small white spots on the inside lining of the cheek.
How Serious Is Measles? Normally,
the infection lasts for 10 days to 2 weeks, and the person recovers completely.
In a small number of cases, pneumonia may develop early in the course of
the illness, or complications may arise immediately after appearance of the
rash. Encephalitis, which causes vomiting, convulsions, coma, and
brain disorders, or a bacterial infection may develop.
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Signs and Symptoms - Swollen, painful salivary glands;
fever;
weakness
and fatigue; possibly,
inflammation of the pancreas, testes, ovaries, or brain.
Mumps is a childhood disease, but it can occur in adults.
Its clinical name is epidemic parotitis.
Mumps is caused by a virus and is spread by inhalation of infected
droplets. The affected person
becomes contagious 1 day before the symptoms appear, is most contagious for
another 3 days, and then becomes less contagious as the swelling goes down.
The Diagnosis. The symptoms of mumps usually appear 2 to 3 weeks
after the virus infection begins. The
primary, and best known, symptom is swollen, painful salivary glands, causing
the cheeks to puff out. In small
children, fever is usually slight. If
the affected person experiences headaches and becomes lethargic, inflammation of
the brain and its lining may be present. Pain
in the upper abdomen, nausea, and vomiting may indicate inflammation of the
pancreas; lower abdominal pain in women may mean inflammation of the ovaries.
This is often difficult to diagnose.
In about a quarter of the men who contract mumps, inflammation of the
testicles develops. Your physician
can confirm this diagnosis.
How Serious Is Mumps? Mumps
make you quite uncomfortable but it usually is not a serious disease and rarely
lasts more than 2 weeks. In some
cases, however, encephalitis may develop, which is a serious complication of
mumps and can lead to neurological symptoms and, rarely, death. Orchitis is uncomfortable and occasionally causes sterility.
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Signs and Symptoms - Rash, mild fever
German measles, also known as rubella, is
only moderately infectious. It is
transmitted by inhalation of droplets of moisture that are carrying the virus.
The incubation period is 2 to 3 weeks, and the affected person is
contagious for 1 week before the rash appears.
The Diagnosis. The
symptoms of the disease usually are mild and sometimes are hardly noticed.
They may include mild fever, enlarged lymph nodes, and a fine, pink rash
that appears on the face, the trunk, and then the arms and legs.
The rash usually disappears in 2 to 3 days, lasting no more than 1 day on
each part of the body. In many
cases, the rash does not even occur. Your
physician may take a blood sample to check for antibodies to the virus.
How Serious Is Rubella? In
itself, rubella is a mild infection. Once
you have had the disease, you usually are permanently immune.
However, if a woman is pregnant when she contracts rubella, the
consequences for her unborn child may be severe.
The child may have any one of various problems including growth
retardation, cataracts, rashes, deafness, congenital heart defects, and organ
defects. The highest risk to the
infant is during the first trimester, but exposure during the second trimester
is also dangerous.
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Signs and Symptoms - Intense itching; lice on the scalp and clothing;
nits
on hair shafts.
Getting head lice. It is not a sign of uncleanliness, or poor health
habits. It is not limited to the
poor, or to certain racial or ethnic groups.
Head lice can occur at any age, and to either sex. So it is wise to learn
how to recognize head lice infestation, how to treat it, and how to prevent it
from coming back.
What are head lice? These tiny insects live in human hair.
They hatch from small eggs, called nits, which are attached to the base
of individual hairs. The eggs hatch in about 10 days, with the new lice reaching
maturity in about two weeks. The
female louse can live for 20 to 30 days, and can lay as many as six eggs a day.
Since lice multiply fast, they should be treated promptly.
How does someone get head lice? Head lice can be transmitted in a number of ways besides direct physical
contact. Borrowing a comb or brush
from a person who has lice will do it. So
can borrowing hats, ribbons, scarves or other head coverings.
Sharing towels or pillowcases can also spread head lice.
Even a stray hair that has nits can transmit head lice.
What signs to look for?
Persistent
itching of the head and back of the neck can indicate head lice.
Look for infected scratch marks or a rash on the scalp.
Most important of all, look for nits attached to individual hairs.
These can be seen with the naked eye, but you can probably identify them
more easily with the aid of a magnifying glass under strong illumination.
Sometimes, small white specks in the hair such as dandruff or droplets of
hair spray can be confused with nits. Try
removing the specks from the hair shaft. Dandruff
or hair spray will come off easily – nits are very difficult to remove.
Treating head lice: the sooner, the better. Once head lice are found, the problem should be taken care of
promptly in order to prevent it from spreading to others.
Fortunately, the head does not need to be shaved in order to bring the
problem under control. Several effective over-the-counter preparations are available
at pharmacies to treat head lice. Ask
the pharmacist and read and follow the instructions on the label.
Your house should be "treated", too.
Even
after all lice are removed from the hair and scalp, the danger of reinfestation
may still exist because lice can survive in the environment for up to four
days. Also, nits can lie
dormant for several weeks, then hatch to reinfest members of your family.
All articles that may harbor lice or nits, such as clothes, towels and
bed linens, should be washed in hot water and detergent and machine dried, or
dry-cleaned. Disinfect combs and
brushes by soaking them in a bleach solution and washing them in hot, soapy
water; inspect for signs of lice or nits. For
items that cannot be washed or dry-cleaned, vacuum as much as possible,
especially upholstery, carpets, mattresses and other areas of the house or car
where lice and their eggs may have been deposited.
Wrap vacuum bag and contents in plastic bag and discard.
Should other family members be checked for head lice?
Yes. If
one member of a residence has head lice, all members should be inspected
periodically for two weeks. If lice
or nits are found, they should be treated promptly.
How can I help prevent head lice in the future? You
should avoid borrowing personal items – combs, brushes, hats, towels or
clothing – from each other or from friends.
It is best for everyone to use only his or her own personal articles,
both at home and while away.
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