Page 85 - Children Bookt.pdf

Clincial event Clinical diagnosis
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Stage 4
Pneumocystis pneumonia

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:
'*:Œ
(PCP) in typical bilateral perihilar
breathing, cyanosis, tachypnoea

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and microscopy of induced
fever; chest indrawing or stridor. sputum or BAL or
(Severe or very severe pneumonia nasopharyngeal aspirate
as in IMCI.) Usually of rapid onset (NPA)

‡_
of age.
Response to high-dose
&~
+/- prednisolone

Recurrent severe bacterial ]
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'
:
'
infection, e.g. empyema, symptoms or signs that localize appropriate
pyomyositis, bone or joint infection. Responds to antibiotics. clinical specimen
infection, meningitis but Current episode plus one or more

&

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:
'
Severe and progressive painful :
'
appropriate orolabial, genital, or anorectal and/or histology
clinical specimen lesions
caused by HSV infection present
for
more than one month
Oesophageal candidiasis Chest pain and dysphagia :
'
(or candidiasis of @ macroscopic
trachea, bronchi or lungs) swallowing), odynophagia appearance
(pain on swallowing food and at endoscopy,
%` microscopy of
retrosternal pain worse on specimen from tissue
swallowing or macroscopic
@%`¥
appearance at

bronchoscopy or
treatment. In young children, histology
suspect
particularly if oral Candida
observed
and food refusal occurs and/
or

"
feeding.

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