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https://www.readbyqxmd.com/read/28279094/pre-hospital-assessment-of-a-child-under-one-year-old-with-fever
#1
Ann Wilkinson
Parents often bring children with a fever to primary and emergency care settings. This article uses a case study to explore the assessment of children with a fever in pre-hospital settings using the three-minute toolkit, National Institute for Health and Care Excellence fever guidelines and the baby check score. It also highlights some educational resources for parents, designed to help them recognise when to seek clinical advice for their children.
March 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28188933/zika-virus-shedding-in-human-milk-during-lactation-an-unlikely-source-of-infection
#2
Marta G Cavalcanti, Mauro J Cabral-Castro, Jorge L S Gonçalves, Larissa S Santana, Eduardo Scarlatelli Pimenta, José M Peralta
Zika virus (ZIKV) transmission through non-mosquito-dependent routes has become increasingly important since reports of sexual transmission. Breastfeeding is a potential means of ZIKV transmission, but data on this remain limited. The cases of four mothers with laboratory-proven infections are reported. No disease evolved in three of the breastfed babies despite detectable maternal viremia and viruria, the presence of viral RNA shedding, and the isolation of infective particles in one milk sample. Fever and rash in one infant of a ZIKV-infected mother proved to be related to chikungunya virus infection...
February 8, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28148289/a-rare-case-of-dengue-encephalopathy-complicating-a-term-pregnancy
#3
Lavanya Rajagopala, Ravindra L Satharasinghe, Madhava Karunarathna
BACKGROUND: Dengue fever has an expanded clinical spectrum ranging from an asymptomatic infection to life threatening dengue hemorrhagic fever and refractory shock. Dengue infection in pregnancy can be a diagnostic dilemma, particularly considering the physiological changes in pregnancy and the obstetric complications encountered in clinical practice. Hence the knowledge of its diagnosis and management in its atypical presentations is of paramount importance. Here we report an unusual case of uncomplicated dengue encephalopathy in a term mother, probably the first to be reported from the Indian subcontinent...
February 2, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28137229/challenges-with-mosquito-borne-viral-diseases-outbreak-of-the-monsters
#4
Renu Gautam, Sweta Mishra, Archana Milhotra, Ritika Nagpal, Mradul Mohan, Anchal Singhal, Pratibha Kumari
The viruses responsible for mosquito-borne diseases are on an exploring mode, expanding their horizon, adapting to the situation and comfortably making their presence felt globally, from South Africa to Asia, Europe and United States. The current global scenario and recent documentations indicate towards the real monsters, outbreak of Zika, dengue and chikungunya viruses. Zika, dengue and chikungunya viruses, all three are positive sense single-stranded RNA arbovirus and so their initial symptoms are almost 80% similar and all three are spread by mosquitos which bite during the day...
January 30, 2017: Current Topics in Medicinal Chemistry
https://www.readbyqxmd.com/read/28077740/the-jarisch-herxheimer-reaction-after-antibiotic-treatment-of-spirochetal-infections-a-review-of-recent-cases-and-our-understanding-of-pathogenesis
#5
REVIEW
Thomas Butler
Within 24 hours after antibiotic treatment of the spirochetal infections syphilis, Lyme disease, leptospirosis, and relapsing fever (RF), patients experience shaking chills, a rise in temperature, and intensification of skin rashes known as the Jarisch-Herxheimer reaction (JHR) with symptoms resolving a few hours later. Case reports indicate that the JHR can also include uterine contractions in pregnancy, worsening liver and renal function, acute respiratory distress syndrome, myocardial injury, hypotension, meningitis, alterations in consciousness, seizures, and strokes...
January 11, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28045216/zika-virus-and-pregnancy-an-overview
#6
Newton Sérgio de Carvalho, Beatriz Freitas de Carvalho, Bruna Dóris, Evellyn Silverio Biscaia, Cyllian Arias Fugaça, Lúcia de Noronha
In May 2015, the first episodes of Zika virus infection of the Latin America were confirmed in Brazil, where currently 196 976 cases were reported. The main route of transmission occurs by Aedes mosquitoes, and the most common symptoms are maculopapular rash, fever, conjunctivitis, polyarthralgia, and periarticular edema. However, the infection is asymptomatic in 80% of the cases. The congenital infection is characterized when the transmission to the fetus occurs during pregnancy, but the mechanisms of how the virus infects the placenta remain unclear...
February 2017: American Journal of Reproductive Immunology: AJRI
https://www.readbyqxmd.com/read/28033275/pregnancy-complicated-with-agranulocytosis
#7
Hai Wang, Jiang-Li Sun, Zheng-Liang Zhang, Hong-Hong Pei
RATIONALE: Pregnancy is a complicated physiological process. Physiological leukocytosis often takes place and it is primarily related to the increased circulation of neutrophils, especially during the last trimester of pregnancy. Noncongenital agranulocytosis during pregnancy is rare and reported only occasionally, while in most of the cases, the agranulocytosis has already occurred prior to pregnancy or induced by identified factors such as antibiotics, antithyroid agents, or cytotoxic agents...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28006998/supraventricular-tachycardia-during-the-first-year-of-life-is-subclinical-inflammation-the-trigger
#8
Pier Paolo Bassareo, Vassilios Fanos, Mario Pala, Luca Antonucci, Paola Neroni, Roberto Antonucci, Guseppe Mercuro
BACKGROUND: Neutrophil/lymphocyte ratio (NLR) and red cell distribution width (RDW) may be associated with the onset of arrhythmias in adults, thus underlining a possible inflammatory etiology. Paroxysmal supraventricular tachycardia (SVT) is the most frequent pathological tachycardia in childhood. AIM: To verify NLR and RDW levels in a group of children (<1 year) affected by SVT with a structurally normal heart and without fever or inflammatory diseases; to compare NLR and RDW before and after SVT resolution, to verify whether the latter was related with the reduction in inflammatory state; to identify - in SVT subtypes caused by a reentry mechanism - an NLR and RDW cutoff point beyond which adenosine was ineffective in preventing SVT recurrence...
January 12, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27981430/comparison-of-temporal-artery-thermometry-with-axillary-and-rectal-thermometry-in-full-term-neonates
#9
Ekta Goswami, Prerna Batra, Ritika Khurana, Pooja Dewan
OBJECTIVE: To assess the efficacy of temporal artery thermometer in febrile and hypothermic neonates in comparison to axillary thermometer. METHODS: It was a cross sectional observational study. Study participants included 210 neonates admitted in neonatal intensive care unit of a tertiary care teaching hospital, divided into three groups of 70 each, namely normothermic, febrile and hypothermic. Temperatures were measured using temporal artery, axillary and rectal thermometers in each patient...
December 16, 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/27974123/-cpt2-gene-mutation-analysis-and-prenatal-diagnosis-in-a-family-with-carnitine-palmitoyltransferase-ii-deficiency
#10
Jian-Qiang Tan, Da-Yu Chen, Wu-Gao Li, Zhe-Tao Li, Ji-Wei Huang, Ti-Zhen Yan, Ren Cai
This study aimed to identify the type of carnitine palmitoyltransferase 2 (CPT2) gene mutation in the child with carnitine palmitoyltransferase II (CPT II) deficiency and her parents and to provide the genetic counseling and prenatal diagnosis for the family members. As the proband, a 3-month-old female baby was admitted to the hospital due to fever which had lasted for 8 hours. Tandem mass spectrometric analysis for blood showed an elevated plasma level of acylcarnitine, which suggested CPT II deficiency. The genomic DNA was extracted from peripheral blood of the patient and her parents...
December 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27869982/characteristics-of-the-first-cases-of-microcephaly-possibly-related-to-zika-virus-reported-in-the-metropolitan-region-of-recife-pernambuco-state-brazil
#11
Alexander Vargas, Eduardo Saad, George Santiago Dimech, Roselene Hans Santos, Maria Auxiliadora Vieira Caldas Sivini, Luciana Carolina Albuquerque, Patricia Michelly Santos Lima, Idalacy de Carvalho Barreto, Michelly Evangelista de Andrade, Nathalie Mendes Estima, Patrícia Ismael de Carvalho, Rayane Souza de Andrade Azevedo, Rita de Cássia de Oliveira Vasconcelos, Romildo Siqueira Assunção, Lívia Carla Vinhal Frutuoso, Greice Madeleine Ikeda do Carmo, Priscila Bochi de Souza, Marcelo Yoshito Wada, Wanderson Kleber de Oliveira, Cláudio Maierovitch Pessanha Henriques, Jadher Percio
OBJECTIVE: to describe the first cases of microcephaly possibly related to Zika virus in live born babies reported in the Metropolitan Region of Recife, Pernambuco State, Brazil. METHODS: this was a descriptive case series study (cases reported between August 1st and October 31st 2015), using medical record data and data from a questionnaire answered by the mothers of the babies. RESULTS: 40 microcephaly cases were confirmed, distributed in eight municipalities within the Metropolitan Region, with Recife itself having the highest concentration of cases (n=12); median head circumference was 29 cm, median chest girth was 31 cm and median weight was 2,628 grams; 21/25 cases had brain calcification, ventriculomegaly or lissencephaly; 27 of the 40 mothers reported rash during pregnancy, 20 in the first trimester and 7 in the second trimester, as well as itching, headache, myalgia and absence of fever...
October 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27782863/knowledge-of-neonatal-danger-signs-among-mothers-attending-well-baby-clinic-in-nakuru-central-district-kenya-cross-sectional-descriptive-study
#12
Elizabeth Gathoni Kibaru, Amos Magembe Otara
BACKGROUND: Neonatal mortality has remained high in Kenya despite various efforts being applied to reduce this negative trend. Early detection of neonatal illness is an important step towards improving new born survival. Toward this end there is need for the mothers to be able to identify signs in neonates that signifies severe neonatal illnesses. The objective of the study was to determine the level of knowledge of mothers attending well baby clinics on postnatal neonatal danger signs and determine the associated factors...
October 25, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/27630383/the-relationship-between-malaria-parasitemia-malaria-preventive-measures-and-average-birth-weight-of-babies-in-a-tertiary-facility-in-owerri-nigeria
#13
E E Idih, B U Ezem, E A Nzeribe, A O Onyegbule, B C Duru, C C Amajoyi
BACKGROUND: Despite the global efforts made to eradicate malaria, it continues to be a significant cause of morbidity and mortality in both neonates and the parturients. This study was done to determine the relationship between placental parasitemia, average neonatal birth weight and the relationship between the use of malaria preventive measures and the occurrence of placental parasitemia with the aim to improving maternal and neonatal outcome. PATIENTS AND METHODS: This cross-sectional study was done at the labor ward unit of the Federal Medical Center, Owerri, from December 2013 to May 2014...
July 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27623727/neonatal-septicaemia-bacterial-isolates-and-antibiogram-sensitivity-in-maiduguri-north-eastern-nigeria
#14
Simon Pius, Mustapha Bello, Gadzama Balla Galadima, Halima A Ibrahim, Samuel Timothy Yerima, Jose Pwavimbo Ambe
AIMS AND OBJECTIVES: The aim and objective of the study was to determine the incidence, bacterial isolates and the antibiogram sensitivity of the isolates in neonates with septicaemia. PATIENTS AND METHODS: The neonates with clinical diagnosis of neonatal septicaemia (NNS) were consecutively enrolled into our special care baby unit. The patients were investigated including blood cultures, cerebrospinal fluid cultures and urine among others. Data were analysed with Statistical Package for Social Sciences software version 16...
July 2016: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27530999/draft-genome-sequence-of-blatem-1-mediated-cephalosporin-resistant-salmonella-enterica-serovar-typhi-from-bloodstream-infection
#15
Naveen Kumar Devanga Ragupathi, Dhiviya Prabaa Muthuirulandi Sethuvel, Baby Abirami Shankar, Elakkiya Munusamy, Shalini Anandan, Balaji Veeraraghavan
Enteric fever is a major cause of concern in developing countries across the globe. The primary choice of antibiotics remains fluoroquinolones, followed by cephalosporins. Resistance to third-generation cephalosporins is rarely reported in Salmonella enterica serovar Typhi. This study reports the whole genome sequence of an S. Typhi isolate resistant to cefixime [minimum inhibitory concentration (MIC)=512μg/mL] by microbroth dilution. Interestingly, the isolate was negative for the cephalosporin resistance gene blaCTX-M by PCR, which is a known mechanism for higher cephalosporin resistance...
December 2016: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/27426706/assessing-health-status-of-khanigaun-village-development-committee-in-nuwakot-district-of-nepal
#16
J K Thapa, P Manandhar, R K Subedi, S Dahal, N B Mahotra, A Pandey
BACKGROUND: Assessing health status is crucial to understand the level of health in the community. Maternal health, child health and behavioral practice on diseases are key issues to assess health status of a community in Nepal. Nationwide surveys and literature suggest that there is improvement in health status of Nepalese community. Thus, the aim of this study was to assess general health status of Khanigaun VDC of Nepal and compare it with regional and national status. METHODS: A descriptive cross-sectional study was undertaken using semi-structured questionnaire, interview and observation methods...
January 2016: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/27408432/familial-hemophagocytic-lymphohistiocytosis-due-to-mutation-of-unc13d-gene
#17
Prabhas Prasun Giri, Nirmoy Biswas, Swati Chakravarty
Hemophagocytic lymphohistiocytosis (HLH) are basically a heterogenous group of clinical syndromes, characterised by activation and non-malignant proliferation of benign histiocytes i.e. lymphocytes and macrophages, leading to a cytokine storm that accounts for the fever, organomegaly and multi-organ dysfunction. Two types of HLH are described, either due to known genetic defect (familial HLH/FHL) or due to some acquired cause either infection or rheumatological diseases. Here we present a case of a 3 months old baby, admitted with fever, hepatosplenomegaly and cytopenia and ultimately was diagnosed to be a case of Familial HLH type 3 due to defect in UNC13D gene as a result of compound heterozygous for two nonsense mutation resulting in the Munc13-4 protein defect...
June 2016: Indian Journal of Hematology & Blood Transfusion
https://www.readbyqxmd.com/read/27372395/pathology-of-congenital-zika-syndrome-in-brazil-a-case-series
#18
Roosecelis Brasil Martines, Julu Bhatnagar, Ana Maria de Oliveira Ramos, Helaine Pompeia Freire Davi, Silvia D'Andretta Iglezias, Cristina Takami Kanamura, M Kelly Keating, Gillian Hale, Luciana Silva-Flannery, Atis Muehlenbachs, Jana Ritter, Joy Gary, Dominique Rollin, Cynthia S Goldsmith, Sarah Reagan-Steiner, Yokabed Ermias, Tadaki Suzuki, Kleber G Luz, Wanderson Kleber de Oliveira, Robert Lanciotti, Amy Lambert, Wun-Ju Shieh, Sherif R Zaki
BACKGROUND: Zika virus is an arthropod-borne virus that is a member of the family Flaviviridae transmitted mainly by mosquitoes of the genus Aedes. Although usually asymptomatic, infection can result in a mild and self-limiting illness characterised by fever, rash, arthralgia, and conjunctivitis. An increase in the number of children born with microcephaly was noted in 2015 in regions of Brazil with high transmission of Zika virus. More recently, evidence has been accumulating supporting a link between Zika virus and microcephaly...
August 27, 2016: Lancet
https://www.readbyqxmd.com/read/27222688/-clinical-and-bacteriological-profile-of-neonatal-bacterial-infection-at-laquintinie-hospital-douala-cameroon
#19
Sandrine Kemeze, Béatrice Moudze, Andreas Chiabi, Charlotte Eposse, Alexis Kaya, Madeleine Mbangue, Odette Guifo, Innocent Kago
INTRODUCTION: The World Health Organization has estimated that the global incidence of neonatal deaths was 2,8 million in 2015, of which 47,6% were due to infections. These infections can affect newborns babies ages 0-1 month through 3 months. METHODS: This is a prospective study conducted from 1 March to 30 June 2015 in the Neonatology service of the Laquintinie Hospital at Douala. All symptomatic newborns with or without anamnestic criteria and all asymptomatic newborns, with at least an infectious risk and a positive blood culture or an abnormal blood count or positive C-reactive protein were included in the study...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27216239/serum-bactericidal-assay-for-the-evaluation-of-typhoid-vaccine-using-a-semi-automated-colony-counting-method
#20
Mi Seon Jang, Sushant Sahastrabuddhe, Cheol-Heui Yun, Seung Hyun Han, Jae Seung Yang
Typhoid fever, mainly caused by Salmonella enterica serovar Typhi (S. Typhi), is a life-threatening disease, mostly in developing countries. Enzyme-linked immunosorbent assay (ELISA) is widely used to quantify antibodies against S. Typhi in serum but does not provide information about functional antibody titers. Although the serum bactericidal assay (SBA) using an agar plate is often used to measure functional antibody titers against various bacterial pathogens in clinical specimens, it has rarely been used for typhoid vaccines because it is time-consuming and labor-intensive...
August 2016: Microbial Pathogenesis
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