Pediatric EM Morsels

AUGUST 9, 2024

Pemphigus syphiliticus Hepatomegaly Most common May have abnormal LFTs and evidence of Hepatitis. Jaundice Lymphadenopathy Generalized Epitrochlear lymphadenopathy is suggestive of congenital syphilis.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Don't Forget the Bubbles

MARCH 18, 2024

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?

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PEMBlog

MARCH 4, 2025

Patients can get joint pain, you can have a hemolytic anemia due to IgM antibodies causing an autoimmune hemolysis, or even neurological complications such as meningoencephalitis, seizures, transverse myelitis, or even Guillain Barre syndrome.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

Pediatric Education

AUGUST 11, 2024

There was no history of seizures, abnormal staring spells, abnormal or erratic behavior, unusual or neurological infections and no specific travel history. Substance abuse was unlikely as the cause as was a migraine, or an infectious disease cause.

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Pediatric Education

MAY 7, 2023

Mild Mental status – anxiety, insomnia, restlessness Autonomic dysfunction – diaphoresis, mydriasis, tachycardia Neuromuscular excitability – hyperreflexia, myoclonus, tremor Treatment – stopping the drug, admission to monitor clinical status, supportive therapy and symptom management such as intravenous hydration and possibly (..)

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

EMDocs

OCTOBER 5, 2024

Imipenem confers highest risk of seizures ESBL-E are often hospital acquired infections and can prolong hospital stay or lead to worse outcomes. Consider Infectious Disease consultation prior to any potential discharges. The Lancet Infectious Diseases. Infectious Diseases Society of America 2024 ; Version 4.0.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

Pediatric Education

JUNE 25, 2023

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.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

PEMBlog

JULY 10, 2024

At any stage, patients can develop neurosyphilis, that can present with vision changes, neuropathies, seizures, or altered mental status. You may have heard this once or twice before, but your history and physical exam are so important, especially when looking for an infection like syphilis that can present in many different ways.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric EM Morsels

OCTOBER 6, 2023

(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. This may be due to the height of the temperature, but there is a theory that the typhoid toxin could cause cortical irritation.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

Mind The Bleep

DECEMBER 16, 2023

References TravelHealthPro [link] BMJ Best Practice [link] UK national guidelines: [link] Written by: Dr Hermaleigh Townsley – IMT2 Infectious Diseases Reviewed by: Dr Hugh Adler ID/MM – SpR

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Infectious Diseases Best Practices Seizures 52

Don't Forget the Bubbles

FEBRUARY 24, 2025

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. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Pediatric Education

NOVEMBER 10, 2024

Related Cases Disease: Toxoplasmosis Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Infectious Diseases | Neonatology | Obstetrics / Gynecology Age: Premature Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Ultrasounds 40

Pediatric Education

SEPTEMBER 1, 2024

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

EMDocs

NOVEMBER 2, 2024

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., Centers for Disease Control and Prevention’s Sexually Transmitted Diseases Infection Guidelines.”

EMS 111

EMS Infectious Diseases CDC Research 111

EMDocs

JANUARY 6, 2025

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. 10 This burden of infectious disease is markedly higher than for the general population.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72