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Fluoroquinolone Use In Children

Pediatric EM Morsels

Binz 2015) Remember, dogs grow 18 times as fast an infant in the first year of life. Binz 2015) More recent lamb studies have been performed, where the growth more closely approximates a human child. Binz 2015). Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. BMC Infectious Disease.

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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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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]. 2015 Nov;46(5):586–9.

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Typhoid Fever in Children

Pediatric EM Morsels

(Britto 2017) There have been several neurological complications associated with typhoid fever in pediatric patients (Britto 2017): It has an increased association with febrile seizures. Typhoid Fever in the US Pediatric Population, 1999-2015: Opportunities for Improvement. 2019 Jul;25(7):1082-1088. Clin Infect Dis.

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. Between 2002 and 2015, 200 infants with pertussis were placed on ECMO, but only 56 survived, representing a survival rate of just 28%. Pediatrics. 2010;126:e81627 Cherry et al.

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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., Sexually transmitted disease surveillance 2018. Symptoms: Personality change (i.e., Neurosyphilis.”

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