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Chapter 23 - Chickenpox and Other Bugs

Published online by Cambridge University Press:  17 December 2021

By
Michelle Alisio  and
Marilyn McDougall
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

An 8-month-old boy with chicken pox was admitted to the local paediatric unit for persistent fever and vomiting for 3 days. The rash had started a week prior to presentation (Figure 23.1). He had no diarrhoea, was awake, alert and able to drink from a bottle. He had mild work of breathing and was not hypoxic, self-ventilating in air.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 122 - 126
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Mahajan, P, Browne, LR, Levine, D, et al. Risk of bacterial coinfections in febrile infants 60 days old and younger with documented viral infections. J Pediatr 2018; 203:86–91.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence (NICE). Guideline on fever in children. www.ncbi.nlm.nih.gov/pmc/articles/PMC2151818/.Google Scholar
National Institute for Health and Care Excellence (NICE). Chickenpox. www.evidence.nhs.uk/document?id=1643695&returnUrl=Search%3Fps%3D30%26q%3DAciclovir&q=Aciclovir.Google Scholar
National Institute for Health and Care Excellence (NICE). Sepsis: Recognition, Diagnosis and Early Management (NICE Guideline 51). 2016. Available at www.nice.org.uk/guidance/ng51.Google Scholar
Schlapbach, LJ, MacLaren, G, Festa, M, et al. Australian and New Zealand Society (ANZICS) Centre for Outcomes and Resource Evaulation (CORE) and Australian and New Zealand Intensive Care Society (ANZICS) Paediatric Study Group: Prediction of pediatric sepsis mortality within 1 hour of intensive care admission. Intensive Care Med 2017;43:1085–96.Google Scholar
Steer, AC, Lamagni, T, Curtis, N, Carapetis, JR. Invasive Group A streptococcal disease: epidemiology, pathogenesis and management. Drugs 2012;72:1213–27.CrossRefGoogle Scholar
UK Medicines Information. www.ukmi.nhs.uk.Google Scholar
Weiss, SL, Peters, MJ, Alhazzani, W, et al. Surviving sepsis campaign international guidelines for the management of septic shock and sepsis-associated organ dysfunction in children. Intensive Care Med 2020:46: 10–67. doi: 10.1097/PCC.0000000000002198.CrossRefGoogle ScholarPubMed

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