Pediatric dermatology
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Pediatric dermatology · Nov 1996
Review Case ReportsChronic meningococcemia in childhood: case report and review of the literature.
Chronic meningococcemia is a rare form of meningococcal infection. Most reported cases occur in adults. Only about 10% of reported patients are under 18 years of age. ⋯ This will help avoid a delayed diagnosis and/or inappropriate treatment. The positive blood culture remains the diagnostic sine qua non. Treatment with ceftriaxone was rapidly successful in our patient.
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Papular urticaria is a common pruritic hypersensitivity reaction to the bites of insects of many different types, including fleas, mosquitoes, chiggers, and, more rarely, avian or rodent mites. Which particular insect is the cause varies with geographic location. ⋯ With its relatively warm winters and wet, foggy summers, San Francisco is an environment where fleas thrive, and their bites afflict children at day care centers and park playgrounds, as well as in homes with pets. We review the clinical approach to papular urticaria in general, and focus on flea bite prevention and management.