Acute Infective Myositis

Acute Viral or Infective Myositis

Common problem: My son had fever for few days and now he refused to walk because of calf pain bilateral?

Acute infective myositis is an illness characterized by muscle weakness and pain associated with elevated muscle enzyme levels and evidence of infection usually by symptoms of fever, lethargy, poor oral intake. It can be due to multiple type of virus infection but in our setup the commonest virus being Influenza virus infection and Dengue Virus Infection. Apart from viruses, bacteria (including mycobacteria), fungi, and parasites can also cause myositis.

Blood investigation usually showed elevated muscle enzyme CK (Creatinine Kinase), mostly consisting of the MM (muscle) isoenzyme, as high as 10-100x times normal.

Complications include rhabdomyolysis causing renal impairement.

Hence, treatment includes IV hydration, antibiotics and antiviral when indicated.

Please contact your doctor if you need any help.

Increased in Vaccine related infectious Diseases and Death in Malaysia. A Reemerging problem in Developed and 3rd World Countries due to social media and wrong information.

https://www.upworthy.com/16-years-ago-a-doctor-published-a-study-it-was-completely-made-up-and-it-made-us-all-sicker?g=3&c=ufb10 

Because of the false information of linking measles with Autism, more children are suffering from measles nowadays and even loss their life. 

The un-vaccinated child will post a danger even to the vaccinated children as they will spread the disease around and the weaker ones will suffers.

Ministry of Health change the MMR schedule for children in Malaysia delivered after July 2015 to twice at 9th and 12th months old.

Attention to All Parents,

Ministry of Health had revised the MMR (Measles, Mumps, Rubella) vaccination schedule of Malaysian children to twice in the first year of life for all children in view of the increasing cases of measles in the country.

For all children delivered after July 2015, the 1st MMR will be given at 9th months and the 2nd dose at 1 year old.

The circular of the changes is available as in link below:

http://www.mma.org.my/images/pdfs/Announcement/2016/Perubahan_Jadual_Imunisasi_Measles_-_V1.pdf

Ministry of Health Malaysia stopping BCG vaccination after Infancy. No more BCG at 7 and 12 years old starting February 2016.

Reminder to All Parents:

Ministry of Health KKM had decided to stop the BCG vaccination and screening in school in both Primary 1 (7 years old) and Primary 6 (12 years old) starting February 2016 as stated in the circular below.

Therefore, the BCG vaccination will only be given at birth nowadays.

http://www.moh.gov.my/index.php/database_stores/store_view_page/31/272

New Influenza vaccine FluQuadri 2015/2016 now available for prevention of Flu A and Flu B

The latest Flu A and Flu B vaccine is now available, FluQuadri which contained 2 Flu A and 2 Flu B vaccine is currently available for both Children and Adults.

Yearly vaccination is the most effective way of prevention of Flu infection especially for children and elderly group who are the most susceptible group of patients.

Important Flu Prevention Info can be available on:  http://www.cdc.gov/flu/protect/preventing.htm

CDC recommends 3 steps for preventing of Influenza (Read link above for details)

1.Take time to get a flu vaccine.
2.Take everyday preventive actions to stop the spread of germs.
3.Take flu antiviral drugs if your doctor prescribes them.

Please kindly contact your family doctor or contact us at 06-7677800 ext 1119 to book your vaccine for vaccination.

Dengue Fever is now a major infectious disease in Malaysia (Update 2014)

The number of Dengue cases had increased dramatically over the past few weeks and below is the statistic by the Ministry of Health of Malaysia.

Parents should be vigilant of the child's fever especially during current period and bring the child to doctor for examination and blood investigation if necessary.The type of blood test (either Dengue NS-1 or Ig M) is mentioned in the chart below.

Source: CDC

                               
                                       Source: PIDJ Volume 32, Number 9, September 2013

Chicken Pox Vaccine in Malaysia

After an absence for about 1 and a half year, the chickenpox (Varicella zoster) vaccine is finally back in Malaysia. This time round, we managed to get the vaccine from MSD called Varivax. For those parents who want the vaccine please called 06-7677800 ext 1119 to book for an appointment.