For a 15-month-old toddler, who is being treated for acute lymphoid leukemia, there are vaccines contraindicated, especially if the child undergoing chemotherapy. For example, live vaccines such as varicella, oral polio, measles-mumps-rubella (MMR) and bacillus Calmette-Guérin (BCG) should not be given to children under chemo. Although, inactive vaccines may be fine but active vaccines should not be administered.
I would say..
B.) One-quarter to one-third.
Good Luck! :)
Wear a hat, long sleeve shirts, and long pants to cover the skin.
Wear sunscreen when in the sun.
Avoid being exposed to the sun without some type of protection.
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
The first time a pathogen hits, our bodies do not know how to handle it properly. This means that our bodies take more time to handle it the first time around. The second time around, however, our bodies have altered so that they can handle the pathogen more efficiently. Hope this helps!
