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Imported Malaria

Pediatric EM Morsels

Travel Medicine and Infectious Disease 44 (2021) 102196. This is typically only widely available in endemic countries (Forgie 2022) More recently there has been a deletion in the Pfhrp 2/3 gene in some P. Severe imported Plasmodium falciparum malaria in children: characteristics and useful factors in the risk stratification.

Seizures 278
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Navigating the Quademic: Clinical Differentiation of Influenza, RSV, COVID-19, and Norovirus in Pediatric Emergency Care

PEMBlog

Diagnostic Costs : Influenza rapid diagnostic tests: $100-$200 Risk Stratification : Young children (<5 years), particularly those <2 years, and children with chronic conditions such as asthma or immunosuppression, are at higher risk for severe outcomes. Electrolyte disturbances secondary to fluid losses.

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Malaria

Mind The Bleep

Investigations EDTA blood (ie an FBC bottle) should be sent urgently for thick and thin films Most laboratories will also perform a rapid diagnostic test (lateral flow), which has quite good sensitivity for P falciparum and reasonable sensitivity for P vivax If the rapid test is negative, consider alternative differentials (e.g.

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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. This compared the reference test (standard microscopy) with the index test (standard rapid diagnostic test (RDT)).

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. Open-access image source: By M.Bitton – Own work, CC BY-SA 3.0, [link] Infectious Disease Exposure It is estimated that, on average, refugees seeking refuge in Uganda visit a health facility 1.8