Every clinician has struggled with managing a febrile infant. We know the majority will have a benign viral illness, but we fear the serious bacterial infection that may have devastating consequences in this vulnerable population. This evidence-based article reviews the current literature and approach to infants less than 60 days of age.
The sudden appearance of COVID-19 has created an additional challenge to the evaluation of children with "flu-like" symptoms. This article compares and contrasts influenza and coronavirus and provides a critical update on a timely topic.
A novel mycoplasma causes a systemic infection characterized by fever, hemolytic anemia, and other cytopenias, sometimes with hemophagocytic lymphohistiocytosis, painful splenomegaly with risk of rupture, and response to doxycycline.
Rigorous adherence to infection control measures is critical as a novel coronavirus (2019-nCoV) continues to emerge globally, threatening to transmit in the community and hospitals in the absence of an effective treatment or a vaccine, the Centers for Disease Control and Prevention emphasizes.
Researchers reviewed 19 cases of meningoencephalitis associated with spotted fever rickettsioses. Fever was present in all cases. Rash was present in 100% of pediatric patients but in only 50% of adult patients. Cerebrospinal fluide pleocytosis was present in 88% of patients. Ninety percent of patients required ICU admission, and only 46% of patients recovered completely.
Pediatric patients present to the emergency department (ED) with a variety of issues ranging from benign upper respiratory infections to life-threatening anaphylaxis. Many emergent conditions may mimic the common and nonthreatening ailments of normal childhood. Emergency physicians must be able to recognize and treat uncommon but emergent illnesses quickly and accurately. In addition, providers must be aware of those illnesses that look serious but warrant only supportive care. This article will focus on the assessment, evaluation, differential, and treatment of uncommon but can’t-miss diagnoses that clinicians should consider in the emergency setting.