American journal of diseases of children (1960)
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A 6-year-old boy with congenital deafness sustained compound fractures to his left ulna and radius. Six days after the injury, he appeared lethargic, and his illness progressed to respiratory failure within three days. ⋯ Both the patient's deafness and the appearance of his wound contributed to the delay in diagnosis of wound botulism. Differential diagnosis and treatment of this rare entity are discussed.
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Dog bites are a common but neglected pediatric problem. To clarify the epidemiology of dog bites and to learn if parents would welcome counseling aimed at preventing bites, 455 families (960 children) in a Denver pediatric practice were surveyed. One hundred ninety-four children (20.2%) had been bitten at least once, with the majority of bites occurring before the child was aged 5 years. ⋯ Approximately half of the bites were believed to be unprovoked. Seventy-seven percent of the parents believed that dog bite prevention warranted discussion with their physician. Dog bites are an important pediatric problem, and parents should be counseled accordingly during well-child visits.
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The records of 42 children hospitalized after a serious fresh-water accident were studied retrospectively. Nine variables thought to be indicative of neurologic outcome in near-drowned patients were analyzed by means of a stepwise discriminant function procedure. ⋯ All dead or badly brain-damaged patients drowned or nearly drowned in warm water (greater than 20 degrees C). Easily obtained prognostic neurologic findings may be important in assessing the efficacy of resuscitation measures in pediatric near-drowning victims, particularly those who were immersed in warm water.
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A 2-year-old boy became ill with diabetic ketoacidosis complicated by severe rhabdomyolysis. He completely recovered from the rhabdomyolysis, but has persistent insulin-dependent diabetes mellitus (IDDM). ⋯ A review of the records of 133 patients admitted with onset of IDDM disclosed one additional patient with marked myoglobinuria, and 11 patients with orthotolidine-positive urine in the absence of hematuria. These findings suggest that myoglobinuria may not be uncommon at the onset of IDDM.