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| The chart below summarizes common childhood illnesses, ailments, and skin conditions. Note: This chart is only a guide and should not replace your doctor's advice. |
Illness/Ailment/Skin Condition | What Are The Signs and Symptoms? | Is It Contagious? |
Bacterial Sinus Infection | Prolonged runny nose with discoloration of nasal secretion and presence of cough occurring on day 10-14. Fever. Different from a cold because fever is higher and lasts longer. Plus nasal secretions occur later and last longer. | Yes; until fever is gone. |
Bacterial Skin Infection (MRSA “Methicillin Resistant Staph Aureus”) | Spider bite-like, boil, abscess or red area occurring anywhere on the skin; skin is warm to touch, fever, and chills. | Yes; transmitted from contact with infected person or from touching objects that have been handled by infected person. |
| Blood Infection Requires immediate medical attention | High fever, vomiting, diarrhea, irritability. Sometimes the only symptom is fever. Sleepy, lethargic; pale; respiratory problems; fluctuating temperature. | Can be, depending on the culprit |
| Bronchiolitis | Mild cold symptoms that progresses to a pronounced cough; fast, labored breathing; and wheezing. | Yes; very contagious and can be for up to 3 weeks. |
Cat Scratch Disease | Chronically swollen, tender glands in neck, head, and under arms, especially if child has been bitten or scratched by a cat; mild fever; headache; fatigue; poor appetite. | No |
| Cervical Adenitis | Large tender, firm, warm swelling on one side of neck, which may become red; fever. | Usually no, but can be depending on culprit. |
| Chicken Pox (Varicella) | Small red itchy bumps that become water blisters and then crust over in about four days; fatigue; slight fever. Uncommon in babies. | Yes; until lesions are crusted (usually takes 1 week). |
| Cold | Congestion; runny or stuffy nose; sneezing; cough; fever; difficulty breathing if congestion is severe. Different from a sinus infection because fever is typically not over 105°F and lasts for only about 3 days. Nasal secretions only last for several days. | Yes; until fever is gone. |
| Croup | Mild cold symptoms that progress to a deep cough that sounds like a bark. May have high fever up to 104° F. Breathing is noisy, labored, high-pitched on inhalation, with possible wheezing on exhaling. | Yes; until after fever is gone. |
| Ear Infection (Otitis Media) | Fussiness, crying, fever over 100° F, reduced appetite, difficulty feeding, vomiting, diarrhea, fluid draining from ear, hearing loss. May pull at ear. Most common after a cold. | No |
| Epiglottitis Requires immediate medical attention | Severe sore throat; fever; drooling; difficulty breathing; chills; difficulty swallowing. | Depends on culprit. |
| Fifth Disease (Erythema Infectiosum, Parvovirus, Slapped Cheek) | Mild symptoms. Low fever, body aches or headache. Rash appears 10 days after infection is over. Rash appears on cheek causing a “slapped” appearance on cheeks. A flat, red, lacy rash appears on chest, arms and legs. | Yes; until rash appears. |
Flu | Severe cold symptoms, dry cough, stuffy/runny nose, fatigue. Possibly fever over 103° F, shortness of breath, wheezing, malaise, loss of appetite, vomiting. Onset is usually abrupt. | Yes; contagious from 2 days before symptoms appear and until approximately 1-2 weeks after symptoms have disappeared |
| Food Poisoning (E.Coli, Salmonella, Shigella, etc.) | Vomiting, diarrhea mixed with blood or mucous, fever, body aches, abdominal pain. | Yes; until diarrhea stops and stool is formed. |
| Gastroenteritis (Stomach Flu) (Viral-Rotavirus) | Diarrhea; vomiting; abdominal pain; fever; chills; achiness. If bacterial infection, blood may be present in stool. | Yes; until diarrhea and vomiting have stopped. |
| Gingivostomatitis | Small red blisters inside the mouth or on the lips. Fever; may refuse to eat or drink which can lead to dehydration; bad breath. | No |
| Hand, Foot, and Mouth Disease (Coxsackievirus) | Small blister-like sores in the mouth, and on the palms of the hands and/or the soles of the feet, and possibly the buttocks. Mild fever, sore throat, loss of appetite. | Yes; until fever is gone. |
Hepatitis (A,B,C) | Fever; listlessness; vomiting; loss of appetite; jaundice (yellowing of the skin and eyes). May be asymptomatic (no symptoms). | A-Yes; through stool of infected person. B- Yes; through contact with blood and body fluids of infected person. C- Yes; through contact with blood and body fluids of infected person. |
| Kawasaki Disease | Fever, reddening of the eyes (conjunctivitis), red and dry lips, swollen tongue, gingivitis, swollen glands in the neck and a swollen, red, peeling skin on the hands and feet. | No |
| Meningitis (Group B Strep and Strep Pneumoniae) Requires immediate medical attention | High fever, vomiting, irritable, poor appetite, bulging soft spot on head; stiff neck; sensitivity to light; lethargy; poor feeding; diarrhea; cold hands and feet; rash or blotchy skin; difficulty breathing; seizure. | Yes; can be contagious up to 2 weeks (depending on the culprit). |
| Otitis Externa (Swimmer’s Ear) | May rub or pull on earlobe (indicating pain); redness and scaling at entrance to ear; yellow, watery, or smelly discharge from ear; swelling in ear or glands in neck. | No |
| Pertussis (Whooping Cough) | Common cold symptoms. Dry, intermittent cough that progress to coughing spells that can cause choking and color changes in baby. | Yes-very; until up to 2 weeks after cough begins. |
Respiratory Syncytial Virus (RSV) | Cold symptoms (fever, runny nose); persistent cough; wheezing; rapid breathing; gasping; apnea; bluish/purplish discoloration of lips and/or skin. Common between October and April. Premature babies are at higher risk. Hospitalization may be required. | Yes-very; until after 8 days but can be up to 4 weeks. |
| Reye's Syndrome Requires immediate medical attention | Associated with taking aspirin. Abrupt, persistent vomiting occurring with recent viral infection; drowsiness; personality changes; fever; diarrhea; convulsions; seizures; or may become unconscious. Very rare but can be fatal. | No |
Roseola (Sixth Disease; Baby Measles) (Herpes Virus 6 or Herpes Virus 7) | Sudden onset of high fever between 101° and 105°F for two to five days; irritable; bulging soft spot; swollen glands in neck; runny nose; diarrhea; swollen eyes. May have runny nose before or with the fever. After fever breaks, a rash appears on torso, spreading to neck, face, and arms. | Yes; through respiratory droplets, saliva, or feces. |
Teething | Drooling, gum sensitivity, irritability, biting/gnawing, difficulty feeding, difficulty sleeping, runny nose, loose bowel movements, low-grade fever. May pull on ear. | No |
| Tonsillitis- Bacterial and Viral | Swollen, red, tender tonsils sometimes flecked with white spots. Sore throat; swollen glands; difficulty swallowing; fever; chills; ear pain; cold symptoms. | Yes; can be contagious up to several weeks depending on culprit. |
| Urinary Tract Infection | Irritability; cloudy, bloody, or foul-smelling urine; fever. May have vomiting and/or diarrhea. | No |
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Author : Diba Tillery RN, BSN, IBCLC, CPST
Information Station



