The Pediatric infectious disease journal
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Pediatr. Infect. Dis. J. · Jul 2004
Review Case ReportsCavitating tuberculosis in an infant: case report and literature review.
Primary cavitating tuberculosis is a rare complication of primary tuberculosis in young children. In the absence of a known adult source case, the diagnosis of tuberculosis in children can be difficult. We describe an 8-month-old baby with primary cavitating tuberculosis, in whom there was considerable delay in diagnosis, and review the literature.
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Pediatr. Infect. Dis. J. · Jul 2004
In situ diagnosis of central venous catheter-related bloodstream infection without peripheral blood culture.
Catheter-related bloodstream infections (CRBIs) are frequent complications of the use of long term central venous catheters (CVCs). Comparative quantitative culture of blood obtained via the CVC and a peripheral vein (PV) is a well-accepted method of diagnosing CRBI; however, an alternative definition for use when a PV culture is not available is desirable. ⋯ Our study suggests that comparison of colony counts from 2 lumens of a double lumen catheter is acceptable for diagnosis of CRBI when a PV culture is not available. Further validation is needed before discontinuing the recommendation to obtain a PV culture.