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Conference moira::parenting_v3

Title:Parenting
Notice:READ 1.27 BEFORE WRITING
Moderator:CSC32::DUBOIS
Created:Wed May 30 1990
Last Modified:Tue May 27 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:1364
Total number of notes:23848

1295.0. "Meningitis" by KAOFS::S_BROOK () Thu Jan 30 1992 15:53

The following is not meant as a scare, but rather as a be aware type
warning that this nasty illness is about and that any child with flu
like symptoms (as opposed to a simple cold) should monitored fairly
closely, and the symptoms not simply dismissed as 'flu.  (and considering
that there is a rather nasty 'flu going around this winter this makes it
all the more important to be alert).



Recently in the Ottawa area, there have been a string of about 6 deaths
of teenagers from bacterial meningococcal disease type C and a few other
more isolated cases across Canada.  (To put this in perspective, about
3/4 million people live in this region).

Meningococcal disease includes

	meningitis     (an infection in the meninges)

	meningecaemia  (a blood poisoning from the toxins produced by
                        the bacteria)

This disease is extremely progressive ... that is the time from initial
symptoms to death can be extremely short ... in some cases under 24 hours.

The symptoms are

	non-specific flu like symptoms ... aches and pains etc and fever
	headaches
	a purplish rash
	stiff neck (physically stiff as opposed to stiff because it hurts)

The last two symptoms are very specific to meningococcal disease when
flu like symptoms are present.

If these symptoms are noticed the person should be taken *immediately* to
the doctor or hospital and the doctor should be made aware of the specific
symptoms and that they are symptoms of memingitis ... after all, many
doctors rarely see meningitis.  If you are sent home with a 'flu diagnosis
continue to be vigilant and don't hesitate to return if the symptoms
get worse or don't improve.

Normally the disease strikes young children.  Teens and adults have
sufficient resistance such that an infection does not take hold.  The
medical community has not been able to come up with a reason why this
strain has hit teens so hard.  As a protective measure, children in our
region from 6 months to 19 years have been innoculated with a polysaccharide
vaccine.  People to have been in known contact with anyone with an active
case have been given prophylactic doses of antibiotics (Ramfin).

Stuart
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1295.1purple rash ?MR4DEC::SPERAThu Jan 30 1992 17:152
    DO you have any more specifics on the "purplish rash" ? Is it smooth,
    bumpy, all over, in one place, etc ?
1295.2KAOFS::S_BROOKThu Jan 30 1992 17:203
    It is a flat rash ... and generally on the abdomen ...  it is
    apparently very characteristic ... the kind of rash that makes
    you take note of it because its colour is unusual.
1295.3also..KAOFS::M_FETTalias Mrs.BarneyThu Jan 30 1992 19:3519
    
    Some more info from a local:
    
    It should be noted that while 6 deaths does not seem like a lot,
    it is way above the average for this region in a two month period.
    As well, there have been those who have survived the disease in this
    time. 
    A surprise to the medical community here is that the Atlanta Center for
    Disease Control issued a warning that anyone in the affected age group
    should be vaccinated before visiting this area. 
    While the local program has been very thorough, there remains a problem
    in the University environment. Since the cut-off age is 20 for the 
    program, that affects only a percentage of those on campus. My husband
    who works at one of the local Universities in Ottawa says this is
    quite the concern there; that not all students in their early 20's are
    being innoculated.
    
    Monica
    
1295.4Rash is a four letter word to me!!!HSOMAI::CREBERFri Jan 31 1992 14:0714
    RE: THE RASH
    
    My kids and I have been to the doctor because of a rash.  She said its
    Fifths Disease virus.  Its supposedly a respiratory virus.  Well, this
    week we've all got congestion and cold-like symptoms. I plan to keep a
    close eye on everyone now to make sure its not something else.  I
    cannot find any info here in notes about this virus.  Has anyone here
    heard of this one?  The rash is redish pink, smooth, located on cheeks
    and arms and legs mostly.  
    
    regards,
    
    lynne c.
    
1295.5KAOFS::S_BROOKFri Jan 31 1992 15:3724
    I remember reading something in Notes somewhere about Fifths Disease.
    I cannot find it in Medical, so presume it may have been in an
    earlier version of PARENTING>
    
    Just for clarity, the Flu like symptoms referred to are :-
    
    	Headache
    	General Body Muscular Aches
    	Fatigue
        Fever
    
    as opposed to the cold like symptoms which usually include runny
    nose and congestion etc.
    
    The stiff neck of meningitis is different from the stiffness you
    might experience due to the muscular pains of the flu ... Stiffness
    due to muscular pain is usually because the muscles are tensed due
    to the discomfort and will not be stiff if allowed to relax.  With
    meningitis, even when relaxed, the neck will remain stiff.
    
    You are right to keep an eye on everyone.  Don't panic though;
    just be concerned about these non-specific symptoms.
    
    Stuart
1295.6Don't worry about fifth diseaseMOIRA::FAIMANlight upon the figured leafFri Jan 31 1992 15:586
My recollection is that it's called Fifth Disease because there were five
common diseases of childhood (or maybe it was five common rashes of
childhood), and this was the fifth one.  It's so utterly innocuous
that it was apparently never worth giving it a real name -- in fact,
I think that the *only* symptom of fifth disease is the rash (and maybe
a low fever along with it.)
1295.75th disease harmful to pregnant women?BTOQA::HICKS_KFri Jan 31 1992 17:2810
    
    I have a friend who is a 2nd grade teacher.  When she was 8 months
    pregnant a few students in her school got fifths disease.
    Her OB/GYN made her stop teaching immediately.  Apparently there
    is some risk to unborn babies whose mothers contract fifths disease.
    My friend then had to have ultrasounds once a week until her
    baby was born.  She never contracted the disease and her baby was
    very healthy when born.
    
    Kim
1295.8Fifth Disease, from A consumer's Guide to Medical CareMCIS5::CORMIERFri Jan 31 1992 18:0012
    It's official name is "erythema infectiosum". THis comes from a home
    medical encyclopedia I have here on my desk (its not something I commit
    to memory : ) "It comes very close to not being a disease at all. It
    has no symptoms other than a rash, has no complications, and needs no
    treatment. It can be recognized because it causes a characteristic
    "slapped cheek" appearance in children"..."The incubation period is
    thought to be from six to fourteen days".  Under home treatment: "There
    is no treatment. Just watch and wait to make sure you are dealing with
    fifth disease. Check that there is no fever; fever is very unusual with
    fifth disease. No restrictions on activities are necessary". It also
    says it is very contagious, but says nothing about danger to fetus'.
    For what it's worth...
1295.9CSC32::DUBOISLoveMon Feb 03 1992 16:568
Meningitis and Fifth Disease are very different diseases.  So that people
do not confuse the two, if you wish to continue the discussion of Fifth,
then please start another topic.  If you are interested in previous discussions
of Fifth, PARENTING_V2 topics 931 and 975 discuss this.

Thank you.

      Carol duBois, PARENTING co-moderator