18-mo unvaccinated child with headache, fever lethargy - USMLE Forums
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USMLE Step 1 Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 1 questions.

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Old 12-28-2013
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Arrow 18-mo unvaccinated child with headache, fever lethargy

Hi, If you saw a question which mentioned a 3-mo to 2-yrs unvaccinated child which symptoms which made you think of meningitis, pneumonia or epiglottitis, think of Haemophillus influenzae.

Further info may be: G- pleomorphic rods whcih require factor X and V (heme and NAD) which are present in Chocolate agar.

Tx*: cefotaxime or ceftrriaxone for empricial therapy of meningitis.
check nasal carriage before releasing----->clonized?---->rifampin (also as a chemoprophylaxis for exposed family members.)

* I also saw ampicillin and 3rd-gen cephalosporins
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The above post was thanked by:
CBEDELL (12-30-2013), mashhour80 (01-17-2015), Rsadhu (09-24-2014)


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