IPHREHAB
INFECTIONS
MEASLES
- It is caused by Virus ( Paramyxo)
- It is usually seen in children
- One attack give permanent immunity
- It is in in severe form in malnourished person ( in our country)
- Very high mortality
- Incubation period is 10 days
CLINICAL PICTURE
- Catarrhal Stage High Fevere Severe Nasal Catarrh Sneezing, Redness of Eyes- Conjuctivitis Kapolick Spots in mouth
- Cough Hoareseness of Voice Photophobia
- Child is very irritable & in Miserable Stage
- Exanthematous stage Koplik spots disappear Rash appear on 2-4 day Rash is maculo papular initially on back of ear
- It rapidly spread over the body – become blotchy
- Rash settle down in one week Fever subside
COMPLICATIONS
- Stomatitis Entertitis Pneumonia Keratitis
- Otitis Media, Conjunctivitis
- Brochopneumonia
- Encephalitis
- Malnutrition Vitamin A deficiecy
- Severe weight loss
MANAGEMENT
- Bed Rest No schooling for 10 days
- Symptomatic Treatment
- Antibiotics
- Prevetion – active immunisation
- Passive immunisation in serious cases 250 mg IM
MUMPS
- Common disorder in our country
- Caused by virus
- Incubation period 18 days
- Spread by droplet infection
- Not very virulent
- Infectivity ver low
- May remain subclinical
CLINICAL PICTURE
- Fever
- Pain in the jaw
- Trismus
- Swelling of Parotid Gland subside in 2-3 days
- Meningitis Encephalitis
- Pancreatitis
- Orchitis
MANAGEMENT
- Treat the symptoms
- Antibiotics if bact. Infection is present
- In orchitis cases give predisolone 40 mg daily
- Vaccination for prevention- MMR
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