402 rheumatic fever rheumatic fever develops after a

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Unformatted text preview: withheld for that reason. It is not necessary to notify the physician about this side effect. A vaccination is withheld for true contraindications such as a previous anaphylactic reaction or sensitivity to a product in the vaccination. Drawing blood for determination of a pertussis titer would not be indicated. 402. Rheumatic Fever Rheumatic fever develops after a group A -hemolytic streptococcal infection, particularly pharyngitis. Initial diagnosis is made by noting the presence of Aschoff¶s bodies, or hemorrhagic bullous lesions, in the heart, joints, skin, and central nervous system; an elevated antistreptosysin O titer; an elevated C-reactive protein level; and an elevated erythrocyte sedimentation rate. Reed-Sternberg cells are found in Hodgkin¶s disease. 403. Fifth Disease The classic rash of erythema infectiosum, or ³fifth disease,´ affects the face. The discrete rose-pink maculopapular rash is the rash of exanthema subitum (roseola). The highly pruritic, profuse macule-to-papule rash is the rash of varicella (chickenpox). The discrete pinkish red...
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