The rash with maculopapules and fever in children
Several medical conditions can cause children to present with fever and a maculopapular rash Although some presentations are benign, others may be medical emergencies, which warrant a prompt diagnosis. We review some of the more common causes of fever and maculopapular dermatitirs, rash including infectious processes (roseola; rubeola; rubella; parvovirus B19; hand, foot, and mouth disease; scarlet fever; meningococcemia; Epstein-Barr virus infection), hypersensitivity reactions (exanthematous drug reactions), and vasculitis syndromes (Kawasaki disease).
Date: Wednesday, 09 25, 2019; Speaker: Mark A. Ahlman, MD, , Staff Clinician, Nuclear Medicine Section, , Radiology and Imaging Sciences, CC; Peter C. Grayson, MD, MSc , Tenure-Track Investigator and Head, Vasculitis Translational Research , Program and Associate Director, Fellowship Program, ; Building: Building 10 (Clinical Center); Masur Auditorium; CME Credit; Videocast Event
CONCLUSION: We recommend the establishment of comprehensive and detailed wound care registries to rapidly collect prospective data on the use of HBOT for these problem wounds. There is a strong case for appropriately powered, multi-centre randomized trials to establish the true efficacy and cost-effectiveness of HBOT especially for vasculitis ulcers that have not improved following immunosuppressive therapy. PMID: 31523797 [PubMed - in process]
CONCLUSION: MPO-ANCA-positive AAV was frequently accompanied by airway comorbidities. In addition to fILD, infectious airway comorbidities were closely associated with those clinical phenotypes and outcomes. PMID: 31523048 [PubMed - as supplied by publisher]
[The Herald] ZIMBABWE will next week hold a national measles-rubella vaccination campaign for children under the age of five, following a "dangerous" measles comeback, the World Health Organisation (WHO) has revealed.
We report a case with GPA, which was diagnosed only after new and advancing symptoms belied the original diagnosis of bilateral facial palsy and aortic mural thrombus.
In the past decade, multiple mumps outbreaks have occurred in the United States, primarily in close-contact, high-density settings such as colleges, with a high attack rate among young adults, many of whom had the recommended 2 doses of mumps-measles-rubella (MMR) vaccine. Waning humoral immunity and the circulation of divergent wild-type...
We present the case of a 73-year-old man with IgA vasculitis after administration of acenocoumarol, confirmed by anatomopathological study. He had cutaneous, joint and renal involvement. With the reintroduction of the drug, the clinical manifestations worsened. They were completely resolved with its suspension, without additional maintenance treatment.ResumenSe presenta el caso de un varón de 73 años con vasculitis IgA tras la administración de acenocumarol, confirmada mediante estudio anatomopatológico. El cuadro cursó con afectación cutánea, articular y renal. La clí...
ConclusionsThe presence of human bocavirus 1 genomic DNA in blood plasma and human bocavirus 1 messenger ribonucleic acid in peripheral blood mononuclear cells together with human bocavirus 1-specific immunoglobulin M are markers of acute human bocavirus 1 infection that may cause life-threatening acute bronchiolitis.
For more information go tohttps://www.cc.nih.gov/about/news/grcurrent.htmlAir date: 9/25/2019 12:00:00 PM
Authors: Gupta N, Mahendran AJ, Chakrabarti S, Agrawal S Abstract A 28-year-old male was admitted for breathlessness, haemoptysis, fever and fatigue. The patient had occupational exposure to silica dust. Arterial blood gas test ABG revealed hypoxemic respiratory failure. Chest CT demonstrated ground glass opacities with interlobular septal thickening and small centrilobular nodules with patchy areas of consolidation in bilateral lungs. He was mechanically ventilated for refractory hypoxemia. The treatment with cyclophosphamide and methylprednisolone lead to recovery and extubation. The final diagnosis was diffuse a...