Posts in Infectious Disease
Rare, But Can’t Miss: Necrotizing Fasciitis in the Pediatric Population

A 14-year-old male presents with right thigh redness and pain. It’s a busy afternoon and you think to yourself, “This will be a quick and easy disposition. The patient probably has cellulitis.” He reports one week of worsening erythema and pain to his right anterior groin. Last evening, he was able to drain a small amount of white to green-tinged material from a small “pimple” that had formed along the medial aspect of his thigh…

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Brown Sound: Lung Ultrasound for COVID-19

SARS-CoV-2/COVID-19 is a novel coronavirus first identified in Wuhan, China in late 2019. There are many types of human coronavirus which cause mild symptoms, but COVID-19 is a new disease which has caused a global pandemic. In COVID-19 infection, there are specific findings seen on point-of-care lung ultrasound (LUS) which correlate to computed tomography findings. Thus, LUS may have an important role in the screening, diagnosis, and prognosis of patients presenting with an influenza like illness (ILI)…

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Dental Pain and a Rash

A 6 year-old otherwise healthy male presented to the emergency department accompanied by his parents. They note that 5 days prior to presentation, the patient developed a rash on his legs which was described as multiple “small red dots” with no other associated symptoms. On further history, they state that they just returned from a hiking vacation to Pennsylvania…

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When It Comes to Ticks, It’s Okay to Make RASH Decisions

An otherwise healthy 16 year-old-male presents to the Emergency Department (ED) with a rash on his chest that began one month prior to presentation. The patient reports that his dad noticed the rash today, prompting him to present to the ED. The patient denies any systemic symptoms including fevers, nausea, malaise, or abdominal pain. He states the rash is painless and does not itch. He has no memory of a tick bite but does spend time outdoors…

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