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Vol 35 No 06

Fever, headache, arthralgias, and rash

June 01, 2018

A 15-year-old Caucasian male with a past medical history of attention-deficit/hyperactivity disorder presents to the hospital emergency department with a 1-week history of fever, headache, arthralgias, vomiting, and rash.

Teenager with sudden diffuse dermatitis

June 01, 2018

A 16-year-old boy develops a diffuse, rapidly progressive eruption on his trunk, face, and extremities 4 days after starting oral amoxicillin for presumed strep throat. He presents to the emergency department (ED) where Stevens-Johnson syndrome is considered. The ED physician notes no mucous membrane involvement.

Poverty and lack of a car lead to failure to fill prescriptions

June 01, 2018

A retrospective study of data from a regional community pharmacy chain in the Midwest encompassing 98 zip codes found that almost 1 in 8 new prescriptions for individuals aged up to 18 years went unfilled after the pharmacy received the prescription.

Antibiotics or antacids in infancy may increase risk of allergy

June 01, 2018

Exposure to acid-suppressive medications or antibiotics in the first 6 months of life is associated with development of allergic disease, according to a retrospective study in more than 750,000 children from within 35 days of birth until aged at least 1 year.

Is there a better way to estimate probability of UTI in febrile infants?

June 01, 2018

Investigators compared the accuracy of an American Academy of Pediatrics (AAP) practice guideline algorithm for diagnosing of urinary tract infection (UTI) in 2- to 23-month-olds with a new tool (UTICalc; University of Pittsburgh, Pennsylvania) that first estimates UTI probability based on clinical variables and then, if laboratory testing is performed, updates the estimate based on the results.