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EM@3AM: Murine Typhus

EMDocs

Centers for Disease Control and Prevention. Murine Typhus—United States, 2002. Clinical Infectious Diseases , vol. California Department of Public Health. Flea-Borne Typhus: Epidemiology Summary 2013-2019. Accessed August 19, 2024. MMWR Morb Mortal Wkly Rep. 2003;52(50):1209-1211. Accessed August 19, 2024. and Sarah L.

EMS 104
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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Exanthematous disease induced by toxic shock syndrome toxin 1 in the early neonatal period. Neonatal Toxic Shock Syndrome-Like Exanthematous Disease in North America. References Takahashi, N.,

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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. J Arthroplasty. 2019 Feb;34(2S):S187-S195.

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Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

2018 Nov 22;379(21):2002-2014. References Schnadower D, Tarr PI, Casper TC, Gorelick MH, Dean JM, O’Connell KJ, Mahajan P, Levine AC, Bhatt SR, Roskind CG, Powell EC, Rogers AJ, Vance C, Sapien RE, Olsen CS, Metheney M, Dickey VP, Hall-Moore C, Freedman SB. N Engl J Med. doi: 10.1056/NEJMoa1802598. PMID: 30462938; PMCID: PMC6358014.

Outcomes 105
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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Between 2002 and 2015, 200 infants with pertussis were placed on ECMO, but only 56 survived, representing a survival rate of just 28%. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants. Pediatrics. Nieves et al.