Pediatric emergency care
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Pediatric emergency care · Aug 2017
Case ReportsMistaken Identity: Asthma and Croup in a Previously Healthy 9-Year-Old Male.
Cough is one of the most common presenting complaints encountered in primary care settings and the emergency department. In 2010, the Centers for Disease Control and Prevention reported approximately 31 million visits to ambulatory care centers for cough, making cough the most frequent presenting complaint in ambulatory visits (2010 National Ambulatory Medical Care Survey). ⋯ We report the case of an otherwise healthy 9-year-old male who presented with worsening cough over a month and a half, subsequently noted to have a mediastinal mass, and diagnosed with lymphoma. We discuss the challenges of diagnosing life-threatening pathologies, which present with common symptoms.
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Pediatric emergency care · Aug 2017
Case ReportsSubcutaneous Granuloma Annulare: A Diagnostic Conundrum-Learning From Mistakes.
Subcutaneous granuloma annulare is an inflammatory lesion occurring in otherwise healthy children. We present 3 pediatric patients with different diagnostic-therapeutic paths depending on the ward they were referred to. The lesions regress spontaneously, and medical or surgical treatments are generally not necessary.
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Pediatric emergency care · Aug 2017
Missed Fractures in Infants Presenting to the Emergency Department With Fussiness.
The aim of this study was to evaluate incidence of prior fussy emergency visits in infants with subsequently diagnosed fractures suggestive of abuse. ⋯ Fractures concerning for child abuse are an important cause of unexplained fussiness in infants presenting to the pediatric ED. A high index of suspicion is essential for prompt diagnosis and likely prevention of other abuse.
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Pediatric emergency care · Aug 2017
Utility of Lumbar Puncture in Children Presenting With Status Epilepticus.
Because meningitis may trigger seizures, we sought to determine its frequency in children with first-time status epilepticus (SE). ⋯ Bacterial meningitis is an uncommon cause of SE.
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Pediatric emergency care · Aug 2017
Case ReportsListeria Meningitis in an Immunocompetent Child: A Case Report.
Listeria monocytogenes is a facultative anerobic, gram-positive bacillus that is isolated from the soil, vegetables, and wild or domestic animals. Listeria infection is usually found in the older adults, immunocompromised patients, pregnant women, and newborns, whereas it is rare in healthy infants and children. ⋯ Complications such as acute hydrocephalus, brain abscess, and spine abscess can develop, and the mortality associated with listeriosis is significantly high. We present a case of a previously healthy 7-year-old boy who developed Listeria monocytogenes meningitis.