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Imported Malaria

Pediatric EM Morsels

Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. Higher Rates of Misdiagnosis in Pediatric Patients versus Adults Hospitalized with Imported Malaria. Pediatr Emerg Care.

Seizures 278
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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)). Schlapbach LJ, Watson RS, Sorce LR, et al.

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Cholera: ED presentation, evaluation, and management

EMDocs

Laboratory testing was not immediately available. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. Pediatr Infect Dis J. 2013;8(1):e54395.

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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. Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids.