Risks for bacteremia and urinary tract infections in young febrile children with bronchiolitis

Article Abstract:

Healthy infants with a fever and bronchiolitis may be unlikely to have bacterial infection of the blood or urinary tract. Fevers may be caused by viral infection or invasive bacterial infections. Researchers examined 432 feverish children less than 2 years old to determine the likely cause of fever. None of the patients with bronchiolitis, a lower respiratory tract infection, had bacteria in the blood, and only 2% had a urinary tract infection. The rates of these conditions were significantly higher in the children without bronchiolitis.

Health aspects, Usage, Causes of, Bronchiolitis, Diagnosis, Laboratory, Laboratory diagnosis

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Immature Neutrophils in the Blood Smears of Young Febrile Children

Article Abstract:

The band count, measuring the number of immature neutrophilic white blood cells in a blood sample, does not indicate whether a child's infection is caused by bacteria or a virus. Researchers compared blood tests of 100 children aged 2 or younger who sought care for a fever. Children with bacterial infections had higher neutrophil counts than children infected by viruses. Band counts, after adjusting the data for the age and body temperature of the patient, did not help doctors in determining the cause of the fever.

United States, Measurement, Medical examination, Blood, Neutrophils, Blood tests

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Predictors of Intussusception in Young Children

Article Abstract:

Male sex, rectal bleeding and an X-ray of the abdomen showing a mass, evidence of bowel obstruction, or a visible intussusception are the most likely predictors of intussusception. Intussusception occurs when one intestinal segment slides inside another one, like a telescope when it is folded up. In a study of 115 children with suspected intussusception, 59% were diagnosed with the condition. Male sex, rectal bleeding and a characteristic abdominal X-ray were the most accurate diagnostic signs.

Pediatric diseases, Intussusception in children, Intussusception

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