PAEDIATRICS CASE

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What is the likely pathogen? Select one: a. Haemophilus influenza b. Salmonella typhi c. Enterobacter d. Staph aureus ANSWER: Causes of Osteomyelitis

Age group

Most common organisms

Newborns (younger than 4 mo)

S. aureus, Enterobacter species, and group A and B Streptococcus species

Children (aged 4 mo to 4 y)

S. aureus, group A Streptococcus species, Haemophilus influenzae, and Enterobacter species

Children, adolescents (aged 4 y to adult)

S. aureus (80%), group A Streptococcus species, H. influenzae, and Enterobacter species

Adult

S. aureus and occasionally Enterobacter or Streptococcus species

Sickle cell anemia patients

Salmonella species are most common in patients with sickle cell disease.

  • Pneumococcal vaccine at 2, 5, 7,12 and 17years
  • Influenza vaccine annually from 6 months
  • Meningitis ACWY vaccine at 2 and 5 years
  • Pneumococcal vaccine at 2, 5, 7,12 and 17years
  • Palivizumab annually from 6 months
  • Hep B vaccine 12, 13 and 18months
  • Pneumococcal vaccine at 2, 5, 7,12 and 17years
  • Influenza vaccine annually from 6 months
  • Hep B vaccine 12, 13 and 18 months
  • Pneumococcal vaccine at 2, 5, 7,12 and 17years
  • Influenza vaccine annually from 6 months
  • Hep B vaccine 12, 13 and 18month
  • Parvovirus vaccine at 6 and 12 months

ANSWER: The correct answer is: Pneumococcal vaccine at 2, 5, 7,12 and 17years Influenza vaccine annually from 6 months Hep B vaccine 12, 13 and 18 months

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