Shingles are a painful rash caused by the reactivation of the Varicella-Zoster virus – the same virus that causes chickenpox. 50% of those living to 85 years old will have at least one episode.

In the first six months of 2019 there have been 27,040 reported cases of Rubella worldwide, which is almost a 50% increase over the entirety of 2018.

Mumps is a contagious viral infection most recognisable by the painful swellings at the side of the face under the ears, giving a person a distinctive "hamster face" appearance.

Measles has a 90% transmission rate if unvaccinated and the airborne survivability of the virus is 2 HOURS!

Stevens-Johnson syndrome (SJS) is a rare type IV hypersensitivity reaction with sheet-like skin loss and mucosal ulceration.

Infective Endocarditis is an infectious disease of the heart and surrounding vessels commonly seen in patients with a history of cardiac disease.

This rare condition requires a high index of suspicion. Clinical features are progressive, but mortality can double after only 24 hours of presentation!

HSP is a multi-system vasculitic disorder which can affect skin and joints. Children will require a urine dipstick, BP and assessment of fluids.

"25 year old Female, has been out for a curry and developed a rash and difficulty breathing. After treatment in Resus she was admitted to EDU for a period of observation."

Quick learning bites on EM topics.

9-month-old unwell & febrile at 39deg , HR 190, peripherally shut down & lethargic.