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Discussion Starter · #1 ·
I know that Pertussis is often mis-diagnosed due to widespread vaccination, and I've heard that Measles is often now called "non specific viral rash", and Rubella is majorly under-reported.<br><br>
My older son is covered with scabby/yellow crusty spots that I thought were bug bites initially, but now--especially after finding them on two neighbor kids--I suspect are actually chicken pox. He has them all over his head, neck, back, stomach, and groin. There are new ones appearing every few hours. None on his arms, legs, or face. I took him to the dr because my youngest son is special needs including an immune deficiency. (my youngest son, by the way, has two spots that look like bug bites, not blistering or scabbing yet, but they've been there less than 24 hours)<br><br>
The dr said he thinks it's impetigo, not chicken pox, and I quote "especially since Ian has had the vaccine, as have the neighbor kids who have the same rash." I pointed out to him that I thought impetigo started in one general area and spread outward from there, and Ian has them widespread in no noticeable pattern. Also that new ones are still popping up. He said that it doesn't look quite like chicken pox, he's almost sure it's impetigo.<br><br>
I'm fine with treating Ian with some antibiotics since many of his spots look pretty nasty (the yellow crusty and scabby areas from several spots kind of meld together, especially on his head) but I went ahead and called Connor's infectious disease dr to talk it over with him. He put in an anti-viral for Connor because of his known immune deficiency. He said that waiting until we know for sure that it's chicken pox will lose some time for treating it, and if it turns out to not be chicken pox, the antivirals won't hurt him.<br><br>
SO...looking for opinions here. Do you think that the drs are more hesitant to diagnose chicken pox now that there's a vaccine for it? And what do you all think about the anti virals for Connor??? Or for that matter, the abx for Ian? I'm going to take some pictures of the spots tonight, I'll post an update when I upload them.
 

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Sure, sometimes they are initially misdiagnosed. A big part of the problem there is that vaccination alters presentation so it's not always so obvious. Another thing is that with many diseases public health has become more reliant on lab confirmation so it's possible that things were <i>overdiagnosed</i> previously.<br><br>
So yeah, it's possible it could be the pox. And it's also possible some of those pox/spots/whatever could have a secondary bacterial infection. If I had a seriously compromised child like yours then I'd probably wouldn't hesitate with anti-virals if I felt there was a good chance it was cpox. But you're there witnessing everything firsthand so you're really the best judge of things.
 

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Discussion Starter · #4 ·
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<div>Originally Posted by <strong>amnesiac</strong> <a href="/community/forum/post/11545264"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Sure, sometimes they are initially misdiagnosed. A big part of the problem there is that vaccination alters presentation so it's not always so obvious. Another thing is that with many diseases public health has become more reliant on lab confirmation so it's possible that things were <i>overdiagnosed</i> previously.<br><br>
So yeah, it's possible it could be the pox. And it's also possible some of those pox/spots/whatever could have a secondary bacterial infection. If I had a seriously compromised child like yours then I'd probably wouldn't hesitate with anti-virals if I felt there was a good chance it was cpox. But you're there witnessing everything firsthand so you're really the best judge of things.</div>
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You have some very good points here...I hadn't thought about overdiagnosing before vaccines...very good point. The dr did tell me that since Ian had the CP vax, he might not present "typically", and because Connor is so young and gets so much breastmilk, he also might not present with a "typical" case.<br><br>
Great, nothing can ever be "typical" in my household!!!<br><br>
I am going to start the antivirals with Connor. I see a questionable spot on his back now, it's just red and slightly raised, might be the start of a spot. Ian has even more than he did a few hours ago, and some of them are bothering him now. I'm a little hesitant about the abx for him, I need to research impetigo more and also research the side effects of abx for a viral infection...if it's not impetigo.<br><br>
Off to google...
 

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Many young adults are misdiagnosed with 'atypical chronic bronchitis' when they really have pertussis.<br><br>
My DS and my niece both had measles but were too young for the vaccine; the young doctor who first saw them with their rashes said that it was a "viral infection manifested by a fever and skin rash". <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/headscratch.gif" style="border:0px solid;" title="headscratch"> Isn't that what measles is?<br><br>
The older, more experienced doctor dxd them with measles.
 

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Discussion Starter · #6 ·
I put a few pictures on my blog. They aren't very good pictures, I'll try again tonight to get some better ones.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>amnesiac</strong> <a href="/community/forum/post/11545264"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Another thing is that with many diseases public health has become more reliant on lab confirmation so it's possible that things were <i>overdiagnosed</i> previously.<br><br>
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What do you think about the prevaccine pertussis deaths stats? Wouldn't a lot of them have probably really been human metapneumovirus (and others)?
 

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Those look like the spots my older kids had.I took them in and was told it was just thier eczema given hydrocortisone and that they could go back to school.The spots kept coming so I kept them home and took them for a second exam where they took me seriously.My oldest had the vaccine so of course he can't get the pox.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> He was the one who took the longest to recover. They are telling some parents here that it just a rash thats going around.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>applejuice</strong> <a href="/community/forum/post/11545570"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Many young adults are misdiagnosed with 'atypical chronic bronchitis' when they really have pertussis.<br><br>
My DS and my niece both had measles but were too young for the vaccine; the young doctor who first saw them with their rashes said that it was a "viral infection manifested by a fever and skin rash". <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/headscratch.gif" style="border:0px solid;" title="headscratch"> Isn't that what measles is?<br><br>
The older, more experienced doctor dxd them with measles.</div>
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Not just adults with pertussis either - I actually just worked with a 4 month old baby that was initially dx as bronchitis until the PCR came back. I also just closed a case today that the doc initially diagnosed as measles but it was ruled out when labs were drawn. So it does go both ways.<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>mamakay</strong></div>
<div style="font-style:italic;">What do you think about the prevaccine pertussis deaths stats? Wouldn't a lot of them have probably really been human metapneumovirus (and others)?</div>
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I think they could have been a lot of things back then. Even something like mycoplasma. And I think a good chunk of mumps cases were incorrectly diagnosed back then too.
 

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Those pics look like the early stages of chickenpox. The elongated oval shape of one of them looks very much like my daughter's first chickenpox spots.
 

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Discussion Starter · #12 ·
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>crittersmom</strong> <a href="/community/forum/post/11547251"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Those look like the spots my older kids had.I took them in and was told it was just thier eczema given hydrocortisone and that they could go back to school.The spots kept coming so I kept them home and took them for a second exam where they took me seriously.My oldest had the vaccine so of course he can't get the pox.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> He was the one who took the longest to recover. They are telling some parents here that it just a rash thats going around.</div>
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Just a rash that's going around? That's crazy!!! Sure, lots of rashes go around, but a blistery one that gets scabby and crusty?? At least our dr was kind enough to admit that it's harder to dx CP now that the vaccine is being widespread.<br><br>
Grr.
 

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I clearly remember what my spots looked like when I had chicken pox as a kid and I'd say those look like CP to me. I remember them getting hard and crusty and itchy. When picked they scar the skin easily.
 

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If it helps to put your mind at ease, I took anti-virals for chicken-pox when I came down with it in my 2nd trimester. It did help, I was over the worst of it in about 10 days, and neither DD nor I seem to have suffered any negative side-effects from it. It does look like CP to me too.
 

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My son had measles when he was 9mths old, a very mild case, and barely even noticed by him. My friends twins got an identical rash to my sons, when they were 19mths old (after their MMR at 12mths), and the dr diagnosed "non-specific viral rash", because he didnt suspect measles due to them having had the vaxx at 12mths. She then went and saw another dr for an unrelated reason, who saw the twins and diagnosed measles, including a blood test. He told her that many dr's dont diagnose measles because they have also been brainwashed by the propoganda of "once vaxxed, always immune"
 

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Its hard to tell by the pics - it doesnt look like it to me though. Heres what my daughters belly looked like on day one: <a href="http://i19.photobucket.com/albums/b160/ERS1105/Katelyn%202-3/DSC_0098.jpg" target="_blank">http://i19.photobucket.com/albums/b1...3/DSC_0098.jpg</a><br><br>
Does he have any on his head? I've heard that one of the tell-tale signs is having atleast one pox on the scalp.<br><br>
Any new pics?
 

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Measles is often misdiagnosed, and in some parts of the world it is over-diagnosed by quite a bit (hence the "amazing success" of the measles vaccine in Africa), so I don't think that example is equivalent. You need a blood test. I don't know if there is a blood test that confirms chicken pox - anyone?<br><br>
Just throwing that out there, because I am just learning about it.
 

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It looks pretty pox-y to me, and the fact that he has them on his head is more evidence in favor of CP.<br><br>
Best wishes to your itchy ones!
 

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Discussion Starter · #19 ·
I put new pictures on my blog. I just don't know what's going on. Ian has been misbehaving a lot, kind of whiney and sensitive, but doesn't appear "sick". Neither does Connor. Both are eating well, playing well, sleeping well, etc. (of course now that I typed that, all hell will break loose tonight!)<br><br>
I'm confused and not sure if I should be worried. I have to call the dr tomorrow with an update on both boys, and I have no idea what to tell him. I don't want to pay another copay to take them both in jsut so the dr can be confused with me, you know?
 
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