The Pediatric infectious disease journal
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Pediatr. Infect. Dis. J. · Jan 2010
Review Case ReportsItraconazole treatment of nonmeningeal coccidioidomycosis in children: two case reports and review of the literature.
Coccidioides immitis causes a wide range of disease in humans. Fluconazole and itraconazole are effective treatments. ⋯ We report 2 cases of coccidioidomycosis involving bone in children successfully treated with itraconazole oral solution. Itraconazole oral solution is effective in treating nonmeningeal coccidioidomycosis in children, particularly skeletal disease, and infections that are refractory to fluconazole.
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Pediatr. Infect. Dis. J. · Jan 2010
Blood culture and bacteremia predictors in infants less than three months of age with fever without source.
(1) To assess the rate of bacteremia in febrile infants less than 3 months of age admitted to a pediatric emergency department at a tertiary hospital; (2) to describe the bacteria isolated; and (3) to analyze factors related to increased probability of having a positive blood culture. ⋯ A positive blood culture rate of 2.2% was found in infants less than 3 months of age with FWS. C-reactive protein, white blood cell count, and absolute neutrophil count were not good bacteremia predictors. We recommend obtaining a blood culture in infants less than 3 months of age with FWS, particularly those patients considered "not well-appearing" and those with leukocyturia and/or nitrituria.
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Pediatr. Infect. Dis. J. · Nov 2009
Complication rates with central venous catheters inserted at femoral and non-femoral sites in very low birth weight infants.
To compare the complication rates of femoral versus nonfemoral sites of percutaneously inserted central venous catheters (PICCs) in very low birth weight infants. ⋯ Because of a higher rate of CRS, the femoral site should not be considered for the placement of PICCs in VLBW infants, when possible.
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Pediatr. Infect. Dis. J. · Sep 2009
Case ReportsRhabdomyolysis, acute renal failure, and compartment syndrome in a child with parainfluenza type 1 infection.
We present a case of para-influenza type 1 induced rhabdomyolysis, acute renal failure, and extensive compartment syndrome in a 6-year-old previously well child. Fasciotomies and subsequent skin grafting of both lower extremities and a prolonged course of hemodialysis led to a complete clinical and biochemical recovery.