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Imported Malaria

Pediatric EM Morsels

ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.

Seizures 278
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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62. As may be seen in the table below, there are several themes as well a range of stringency.

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Congenital Syphilis

Pediatric EM Morsels

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. 2013 Aug;20(4):337-9. Epub 2013 Feb 27. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. Rates of congenital syphilis are increasing. BMJ Case Rep.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. BMC Infectious Disease. Meesters 2018) Resistance is growing (likely from inappropriate / overuse)!

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Depending on the progression of the illness, children may present with pallor, oedema, lethargy, seizures, hypertension or abnormal liver function tests. Clinical Infectious Diseases [Internet]. What is atypical HUS?

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EM@3AM: Neurosyphilis

EMDocs

bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., 2013 Dec;51(12):4060-6. Sexually transmitted disease surveillance 2018. Neurosyphilis.”

EMS 93