Hand foot and mouth disease

• Hand foot and mouth disease (CKS)

Chickenpox 

• Varicella zoster/chickenpox/shingles: aciclovir 800mg 5x/day 7/7. 2nd-line: valaciclovir 1g TDS 7/7. Pregnant/BF: seek advice. 

• Chickenpox (CKS)

​COVID-19

• COVID-19 (CKS)

Glandular fever

• Or infectious mononucleosis. This is an infectious illness caused by the Epstein–Barr virus (EBV). In younger people the illness usually presents with an exudative pharyngitis and prominent cervical lymphadenopathy. Transient abnormalities of liver function are common in patients with EBV infection. Treatment is supportive and liver function usually returns to normal within a few weeks.

• Glandular fever - infectious mononucleosis (CKS)

​Herpes Simplex/cold sore

• Herpes simplex - oral (CKS), Cold sore - herpes simplex virus (NHS Choices)

Influenza / flu

• Influenza - seasonal (CKS)

Measles

• Cough, coryza, conjunctivitis

• Fever, koplik spots

• Measles (CKS)​

Molluscum contagiosum

• Molluscum contagiosum (CKS), Molluscum contagiosum (PCDS)

Mumps

• Mumps (CKS)

Rubella

A 24-year-old 14 weeks pregnant woman working in a nursery is worried about her risk of contracting rubella and the potential impact on her baby. Which ONE of the following is a feature of congenital rubella syndrome?

1. Macrocephaly

2. Deafness

3. Meconium aspiration

4. Trisomy 21

5. Autism

Rubella in pregnancy may give rise to the following features of the congenital rubella syndrome: 

• deafness 

• heart defects 

• mental retardation 

• growth retardation 

• retinopathy, cataracts, and glaucoma 

• microcephaly

The risk of transmission to the fetus depends on the gestational age at the time of maternal infection. Infection after 20 weeks gestation does not tend to affect the baby, whereas 90% of infections under 11 weeks will have an adverse outcome.

References

• Rubella (CKS)

Parvovirus B19

• Parvovirus B19 infection (CKS) (also known as erythema infectiosum or fifth disease)

• Viral exanthems: see dermatology