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Showing posts from October, 2019

FEVER AND RASH CAN BE SCRUB TYPHUS INFECTION

It is a mite born rickettsial infection firstly identified in Japan in 1930. It is caused by Orientia tsutsugamushi.   Mode of transmission : Humans are the accidental hosts. Bite of an infected mite which feeds on small mammals (rats and mites) causes infection to humans. There is no direct person to person transmission. Prevails in rainy seasons and area of scrub vegetation. Find the top child specialist in sector 57 gurgaon . Clinical features : Incubation period is between 6-21 days •    High fever with chills •    Malaise •    Maculopapular rash •    Lymphadenopathy •    Coryza •    Headache •    Gastrointestinal symptoms •    Eschar formation on 5th day of illness. Mostly located in axillary, inguinal region, perianal, scrotum, buttocks and thigh. It appears as an ulcer surrounded by a red areola which is covered by scab. Complications : •    Pneumonitis •    Hepatitis •    Meningoencephalitis •    Disseminated intravascular coagulation •    Myocarditis •    Multi organ

TEETHING IN CHILDREN

Teething is the process of the eruption of primary teeth through the gums called as Odontiasis. Usually primary small teeth incisors erupt without much difficulty, but larger ones sometime are difficult to erupt. This phenomenon starts around 4 months to 15 months of age for primary dentition. Usual order of eruption of primary teeth: •    Central incisors- 6-12 months of age •    Lateral incisors- 9-16 months of age •    Canine teeth- 16-23 months of age •    First molars- 13-19 months of age •    Second molars- 22-24 months of age Between 6 years to 12 years of age the roots of these 20 baby teeth degenerate allowing their replacement with 32 permanent adult teeth. Local signs are: •    Swelling of gums •    Redness over gums and cheeks •    Keeping hands and fingers inside mouth •    Excess of salivation Systemic signs are : •    Irritability •    Crying •    Excess of salivation and drooling •    Decreased appetite •    Restlessness •    Increased thirst •    Rash around