Posts

Health care utilization in the first seven years in children with fetal growth abnormalities: a retrospective cohort study

To investigate the relationship between birthweight for gestational age and health care utilization of term offspring from birth to 7 years. source https://www.jpeds.com/article/S0022-3476(22)00721-1/fulltext?rss=yes

Back-To-School COVID Rules

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  With students preparing to return to the classroom after a long, hot summer, the Centers for Disease Control and Prevention updated its guidance to prevent SARS-CoV-2 transmission in schools, preschools, and child care facilities. BA.5 is now the predominant Omicron subvariant in the United States, accounting for almost 90% of new cases of COVID-19, according to the CDC COVID Data Tracker . It is the most contagious version of coronavirus thus far, and new mutations to the pathogen’s genome are expected to evolve as time goes on. The trend in deaths from coronavirus in the U.S. has been fairly steady during the summer — roughly 350-450 Americans die every day from COVID-19. (The Johns Hopkins University Coronavirus Resource Center estimates 1,037,001 have died — 6.4 million globally — since the outbreak was declared a national public health emergency 29 months ago). While it’s clear the virus can still do some serious damage, the fact that so many people have received vacci...

Dual-Toxin (“Bivalent”) Infant Botulism in California, 1976-2020: Epidemiological, Clinical, and Laboratory Aspects

To assess the consequences of infant botulism (IB) that result from Clostridium botulinum strains that produce two botulinum toxin serotypes, termed “bivalent.” source https://www.jpeds.com/article/S0022-3476(22)00725-9/fulltext?rss=yes

Skin Findings of Impetigo Neonatorum and Staphylococcal Scalded Skin Syndrome

A 4-week-old male infant presented with 5 days of honey-crusted facial rash (Figure A). He was admitted to a local children’s hospital to initiate therapy. Initial intravenous line placement attempts triggered Nikolskys sign, with skin exfoliation at sites of lateral pressure on the patient’s feet (Figure B). Over the next two days, skin desquamation progressed over the legs and torso. A facial swab grew abundant methicillin-susceptible Staphylococcus aureus (MSSA), supporting the diagnosis of local impetigo neonatorum with disseminated, toxin-mediated Staphylococcal scalded skin syndrome (SSSS). source https://www.jpeds.com/article/S0022-3476(22)00722-3/fulltext?rss=yes

Sunday Funnies

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Daddy’s Home by Gary Markstein and Anthony Rubino Jr. ( Arcamax.com/thefunnies )             source http://www.thepediablog.com/2022/08/14/sunday-funnies-518/

Eosinophilic Meningitis: Eleven-Year Experience at Texas Children’s Hospital

Eosinophilic meningitis can be caused by various etiologies and is reported mostly in tropical climates. The diagnosis is rare in the continental US, presenting challenges for management. Following a case of pediatric eosinophilic meningitis, we reviewed our eleven-year experience with this diagnosis at a large US children’s hospital. source https://www.jpeds.com/article/S0022-3476(22)00720-X/fulltext?rss=yes

High Potency Cannabis Use in Adolescence

A 17-year-old cisgender male presents to clinic for his annual physical. He was last seen 14 months ago. He denies any acute concerns. Review of systems is notable for vague abdominal discomfort and decreased appetite, especially in the morning. He attributes his symptoms to “difficulty sleeping and having to get up early for school”. He denies nausea, emesis, constipation, and diarrhea. On psychosocial assessment, he reports school has been “very stressful”, and his grades have dropped from A/Bs to C/Ds. source https://www.jpeds.com/article/S0022-3476(22)00702-8/fulltext?rss=yes