Herpes: From Mom to Baby-and Back Again,Via Breast-feeding
November 30th 2009A 10-month-old breast-feeding boy was taken to the emergency department (ED) with a temperature of 40°C (104°F). Because he was on day 7 of treatment with amoxicillin for a previously diagnosed ear infection, unresolved otitis media was diagnosed.
Toddler With Elfin Face, Cardiovascular Abnormalities, Hypercalcemia,and Developmental Delays
November 23rd 2009Four-year-old boy born at 35 weeks’ gestation to a gravida 2, para 1, 23-year-old mother via emergency cesarean delivery because of fetal distress. Birth weight, 1670 g (3 lb 11 oz). Apgar scores, 8 and 9 at 1 minute and 5 minutes, respectively. At birth, child found to have supravalvular aortic stenosis, peripheral pulmonary stenosis, and ventricular septal defect. Gastroesophageal reflux, laryngomalacia, bilateral inguinal hernias, hypothyroidism, hypercalcemia, growth retardation, and developmental delays noted at various times during the first 4 years of life. Family history, unremarkable.
Rapid In-Office Testing for the 2009 Pandemic H1N1 Influenza Virus: Proceed With Caution
November 9th 2009The clinical diagnosis of influenza is often challenging, especially in young children. Thus, pediatricians often use in-office rapid influenza diagnostic tests (RIDTs) to confirm clinical suspicions of influenza.