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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. Travel Medicine and Infectious Disease 44 (2021) 102196. 2020 Mar 11;33(2):e00104-19. vivax , P. malariae , and the less common P. vivax and P.

Seizures 278
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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Infectious Disease Acquisition in Pediatric International Travelers: A 10-Year Review at a Canadian Tertiary Care Hospital. Glob Pediatr Health. 2021 May; 8:1-16. PMID: 34423077 Flores MS, Hickey PW, Fields JH, Ottolini MG.

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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

(CDC 2024) Generally, most ticks require >24 hours of attachment for there to be a risk of transfer of the infectious agent. This is true of hard ticks , which carry the majority of bacteria and viruses which can infect humans (Rochlin 2020) This is not true when the infectious agent is carried by a soft tick.

CDC 161
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ACMT Toxicology Visual Pearl: The Black Eschar

ALiEM

Anthrax is a serious infectious disease caused by gram positive, rod shaped, bacteria known as Bacillus anthracis [1]. Patients suspected of having anthrax should have their disposition and treatment determined in conjunction with your Infectious Disease specialists and your state health department. Published 2020 May 12.

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EM@3AM: Murine Typhus

EMDocs

Centers for Disease Control and Prevention. Clinical Infectious Diseases , vol. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Flea-Borne Typhus. Accessed August 19, 2024. 2003;52(50):1209-1211.

EMS 82
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2023 Critical Care Year in Review (Part 1)

PulmCCM

Sepsis, infectious disease Managing septic shock with a restrictive-fluids approach (preferentially using vasopressors after a single liter crystalloid bolus) led to similar outcomes as the usual practice of bolusing large volumes of fluids first. Either approach in severe sepsis with shock seems reasonable.

Sepsis 94
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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. 2020 Nov 20;99(47):e23315. J Med Virol.