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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Neurologic deficits, seizures, cognitive issues, hearing loss. A 2020 Cochrane review found the pooled sensitivity was 65%. Give acyclovir If there is concern for HSV encephalitis (focal neurologic deficits, seizures, markedly depressed mental status, or immunocompromise) The mortality rate for HSV encephalitis is up to 70%.

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Imported Malaria

Pediatric EM Morsels

falciparum accounts for >70% of cases of imported malaria , primarily seen in those returning from travel in Sub-Saharan Africa (Mischlinger 2020) Other species include P. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P.

Seizures 281
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Congenital Syphilis

Pediatric EM Morsels

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). doi: 10.1136/bcr-2020-240532. Rates of congenital syphilis are increasing. Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. pallidum invades the bloodstream directly causing spirochetemia in the fetus.

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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]. Cited June 2020];27: 1407-1410.

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What Can Boric Acid Be Used For?

Pediatric Education

Borate toxicity can cause abdominal pain, diarrhea, emesis, fever, irritability, seizures, and death. Related Cases Disease: Ear Infections Symptom/Presentation: Ear Pain Specialty: Otolaryngology | Infectious Diseases Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

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Typhoid Fever in Children

Pediatric EM Morsels

Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever. 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.

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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. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. 2020 Oct;40(10):1506-1512. Nieves et al. Pediatr Infect Dis J. 2013;32:6989 Wolf et al.