Torch disease blueberry muffin babies purpura in the

 TORCH disease
 “ blueberry muffin babies ” purpura in the neonate
exposed to rubella (and other disease)

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 Varicella Zoster
 “chicken pox”
 Caused by the varicella zoster virus
 Virus lives dormant in the nerves and can reappear as shingles
later in life
 Varicella zoster virus is aka herpes zoster virus
 Causes a vesicular rash all over the body
 Spread through airborne droplets (negative pressure
room), highly contagious
 Contagious as long as have fluid filled vesicles
o After rupture & crusty, not contagious
 In addition to the rash, causes anorexia, fatigue, aches,
general malaise
 Very itchy
 Itch-relief measures – oatmeal baths, keep cool, Tylenol
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 Human Papilloma Virus
 Virus that causes cervical cancer and some oral, penile and anal
cancers
 Several strains of the virus
 Adolescent vaccine
o Garadsil vaccine – boys & girls; series of 3
 Must keep patient in office for 20 minutes after vaccinating as there
have been some reports of fainting
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 Meningococcemia
 Systemic bacterial infection caused by Neisseria
meningitidis

 Multiple strains
 vaccine-preventable
 Cause of meningitis and sepsis
 Rapid on-set
 Dermatological manifestation of non-
blanchable petechial rash (bacteria cause inappropriate
clotting of blood and tissue damage) that leads to larger,
dispersed patches of purple-back patching
 Highly contagious and deadly (cold be HSP?)
 Spread through droplets  always precautions first (gown, glove,
mask)
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 Influenza
 Viral illness causing coughing, rhinorrhea, headache, general malaise,
muscle ache, trouble breathing (not gastroenteritis)
 Multiple strains and different mutations every year
 Flu season is generally defined as October-April
 Yearly vaccination with “best guess” strains included
 Shot can be given beginning at age 6 months, but give in two doses ,
4 weeks apart the first time the child receives it
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