Infectious Disease Worksheet

Disease

Strep
Throat

Causative
Agent

Prodromal
Phase?

Communicabil
ity

Group A B
Hemolytic
Streptococci

Abrupt onset.

Droplets of
infected
secretions,
winter and
early spring.

Pertussis

Catarrhal Stage
(1-2 wks.) Mild
cough, coryxa,
sneezing, 101
low grade
fever,

Highly
contagious.
Adults who
can pass it.
Aerosal
droplet
spread by
coughing and
close contact.

Roseola

Virus: HHV6/HHV-7

3-5 days.
Intermittent
fever

Droplet

Rubella
(German)

Rubivirus

Mild catarrhal
symptoms,
often
overlooked.

Unvaccinated
school age.
Transmission
contact with

Symptoms

Treatment

Include description
of any rash

Moderate to high
fever, prominent
sore throat, HA,
malaise, N&V.
-Pharyngeal:
erythema w/ or w/o
purulent exudate.
Petechiae of palate.
Strawberry tongue
Paroxysmal stage
(2-4wks
Short and choppy
cough, end with
inspiratory whoop.
Vomiting, or
drooling.
Convalescent stage.
Waning of cough,
low grade fever.

Prevent
complications.
PCN V,
amoxicillin,
cephalospoirin
s, macrolide.

Rose-colored
macules;
distribution middle
of body. Lasts 1-3
days
Little macules and
reticular. Starts face
spreads to trunk by
24 hr to trunk.

Symptomatic,
antipyretics
for fever.

W/ severe
respiratory
symptoms
require
hospitalization
. 02? IV for
dehydration.
-Erthromycin

Symptomatic,
NSAIDS for
arthritis.

Additional
Info

Important we
catch so we
dont
develop
rheumatic
fever.

DTaP.
Highest
mortality in
those <1
month.
Vaccinate
with every
pregnancy.
Adults need
it too!
No need for
titer.

Issue for
pregnant
women. DX
by acute and

Infectious Disease Worksheet

Rubeola
(Measles)

Virus

Cervical and
groin
lymphadenopat
hy seen 24 hr
before rash

secretions.
1 week before
and 5-7 days
after rash.

Clears by day 3.
Low-grade fever,
pruritus possible.

Phase one: Flulike.

Cough, Coryza,
Conjunctivitis.
Fatigue,
moderate
fever.

HERD
IMMUNITY.

Phase two: Kopliks

spots (whitish with
blue center) Fever
spike up to 104.
Rash: erythematous,
blanching rash,
Morbilliform. (Starts
forehead, spreads
downward)
Can cause Neuro
damage!
Moderate fever,
unusual fatigue,
painful swallowing
and mouth
movement.
Swelling of salivary
glands. PAROTID
GLAND SWELLING.
No rash

Incubation:8-12

Mumps

Paramyxovir
us

HA, neck pain,

malaise.

Transmission:
Direct contact
droplet.
1-2 days
before dx to 4
days after
rash appears.
1-7 days.

Primarily
supportive, Vit
A, Tx. Of
complications
such as OM,
Pneumonia,
encephalitis

Symptomatic.

convalescent
titers.
Rubella IgM
antibody
In MMR and
booster
Vaccine after
one year.
Usually dx
when
community
has it and
rash is seen
Nasal swab

Mostly
children.
Complication
s: malestesticle
lump, pain;
scrotal
swelling,
sterility.
Deafness in
female and
male.

Infectious Disease Worksheet

Varicella

Varicella
Zoster Virus

Ranges from
asymptomatic
to fever,
malaise, cough,
coryza, and
sore throat

Most highly
contagious
before the
rash.
Via
respiratory
drops and
vesicular
fluid. 2 days
before rash to
5 days after
onset of rash
Direct contact
with saliva or
blood.

Mono

Epstein-Barr
Virus

Kawasaki
Disease

Unknown.
May be
autoimmune.

High and
persistent fever
(>102). Often
unresponsive
to
acetaminophen

Highly
contagious,
repiratory
symptoms.

Scarlatina
(scarlet
fever)

Endotoxin
from Group A
betahemolytic

2-4 days. HA,

sore throat,
abdominal
pain.

Contact,
fecal/oral

Pruritic. Starts with

macule, goes to
vesical and crust
over. Face/scalp to
trunk and
extremities.

Symptomatic.
If needed:
Acyclovir,
control itching,
hydration,
vaccine
(varrivax)

2nd attack
within
household=8
0-95%

Fever, sore throat

(looks like strep),
posterior cervical
lympadenopathy,
hepatosplenomegaly,
elevated LFT
Conjuntivitis, bright
red chapped lips,
red mucous
membranes in
mouth, strawberry
tongue, skin rash,
desquamation,
cervical
lymphadenopathy
Strawberry tongue
(dots like seeds)
Exudative
pharyngitis.

Supportive,
lots of rest, no
contact sports.
Corticosteroids
. Avoid
Amoxicillin

Look for
spleen
enlargement
possibility in
acute phase.

Early
recognition
key. IVIG
infusion, high
dose aspirin

Coronary
Artery
Aneurysm.

Penicillin,
cephalosporins
, macrolides.

Same time
as strep or
after strep.
Complication

Infectious Disease Worksheet

streo.

Pinpoint papules
sandpapery feel.
Desquamation of
tips of finger and
toes.

s: rheumatic
fever
(damage to
valves),
glomerulone
phritis.

Impetigo

Staphylococc
us aureus or
Streptococcu
s pyogenes

4-10 days

Contact with
skin or
surface.

Non-bullous or
crusted impetigo.

Antibiotic

Cover
infected
area.

Erythema
Infectiousu
m

Virus
(Parovirus)

Low-grade
fever,
headache,
malaise (achy,
flu-like)

No vaccine.
Droplet.
Contagious
before
symptoms

Symptomatic.
IVGG and
transfusions

Issue for
pregnant
women!!
Anyone: Joint
pain.

Hand Foot
& Mouth

Enterovirus

Brief. Sore
throat,
anorexia,
malaise, lowgrade fever.

Contact.
Fecal/oral

LACY rash (2nd

stage): palms, soles,
hairline. Slapped
cheek is abrupt.
Maculopapular on
extremities.
Oral mucosal
vesicles, painful.
Vesicles on dorsal,
hands, feet, palms,
sole.

Symptomatic.
Analgesia to
help with oral
intake,
steroids for
itch. Magic
mouthwash

Potential
dehydration
due to not
eating.