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evaluation of new onset of fever in icu patients

Carlos H Gómez-Quintero, Álvaro A Faccini-Martínez, Carlos A Botero-García, Marcela Lozano, Liliana Sánchez-Lerma, Jorge Miranda, Salim Mattar, Marylin Hidalgo
Spoted fever group (SFG) rickettsioses are actually considered as emerging and re-emerging zoonotic diseases, caused by pathogenic bacteria of the spotted fever group rickettsiae (SFGR). Recently, serologic studies in human and animals conducted in Colombian Orinoquia, showed a high seroprevalence against SFGR. In June 2015, a 50-year-old male was admitted to a hospital in Bogotá, Colombia, with two days of malaise and temperature of 39°C, associated to generalized rash 24h after the onset of fever. He referred a work visit and outdoor activities in rural area of the Department of Meta 15days prior the onset of symptoms...
May 2017: Journal of Infection and Public Health
Tanya Bautovich, Andrew Numa
OBJECTIVE: The role of neuroimaging in children presenting with new-onset seizure is poorly defined. This study evaluates the incidence of abnormal CT findings in children admitted to the paediatric intensive care unit (PICU) with new-onset seizure and examines potential clinical variables associated with abnormal head CT findings. METHODS: A retrospective analysis of 89 previously asymptomatic children admitted to Sydney Children's Hospital (Sydney, Australia) PICU between November 2005 and September 2009 with new-onset seizure was undertaken...
June 2012: Emergency Medicine Australasia: EMA
Peter Fleming, Paul E Marik
The life-threatening DRESS (drug rash with eosinophilia and systemic symptoms) syndrome is characterized by the presence of at least three of the following findings: fever, exanthema, eosinophilia, atypical circulating lymphocytes, lymphadenopathy, and hepatitis. This syndrome is difficult to diagnose, as many of its clinical features mimic those found with other serious systemic disorders. This idiosyncratic reaction occurs most commonly after exposure to drugs such as allopurinol, sulfonamides, and aromatic anticonvulsants such as phenytoin, phenobarbital, and carbamazepine...
March 2011: Pharmacotherapy
Brunna E Alves, Silmara A L Montalvao, Franciso J P Aranha, Tania F G Siegl, Carmino A Souza, Irene Lorand-Metze, Joyce M Annichino-Bizzacchi, Erich V De Paula
BACKGROUND: Febrile neutropenia carries a high risk of sepsis complications, and the identification of biomarkers capable to identify high risk patients is a great challenge. Angiopoietins (Ang -) are cytokines involved in the control microvascular permeability. It is accepted that Ang-1 expression maintains endothelial barrier integrity, and that Ang-2 acts as an antagonizing cytokine with barrier-disrupting functions in inflammatory situations. Ang-2 levels have been recently correlated with sepsis mortality in intensive care units...
2010: BMC Infectious Diseases
Fuling Yan, Daopei Zhang, Haiqing Xu, Haijian Guo
OBJECTIVE: The purpose of this project was to identify risk factors for fever among critically ill patients with acute new-onset stroke, treated in a neurological intensive care unit (NICU). The frequency and risk factors for fever in the stroke patients during the first 7 days after admission were retrospectively studied. METHODS: Fever was defined as a patient's axillary temperature >37.5 degrees C in two separate measurements or >37.8 degrees C in one single measurement...
May 2008: Neurological Research
Dorothy L Moore, Wendy Vaudry, David W Scheifele, Scott A Halperin, Pierre Déry, Elizabeth Ford-Jones, Haider M Arishi, Barbara J Law, Marc Lebel, Nicole Le Saux, Karen Grimsrud, Theresa Tam
OBJECTIVES: Influenza is a common childhood infection that may result in hospitalization. Our objectives were to (1) determine characteristics of children hospitalized for influenza and disease manifestations and (2) obtain baseline data before implementation of new recommendations for routine immunization of young children and their caretakers against influenza. METHODS: All of the children hospitalized with laboratory-confirmed influenza at 9 Canadian tertiary care hospitals during the 2003-2004 influenza season were identified from virology laboratory reports, and their charts were reviewed...
September 2006: Pediatrics
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