Tales from LBJ Tropical Medical Center: A Child with Fever and Chest Pain

16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…

Infectious Disease, Global EMMichael WilkJuly 21, 2020tropical, medicine, acute rheumatic fever, rheumatic heart diseaseComment

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…

Infectious Disease, PediatricsJared SuppleJuly 17, 2020Necrotizing Fasciitis, Pediatric InfectionsComment

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)…

Ultrasound, Infectious DiseaseBrendan InnesApril 29, 2020POCUS, lung ultrasound, COVID19, coronavirusComment

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…

Infectious Disease, PediatricsJosh KaineJanuary 28, 2020EBV, Infectious Disease, Pediatrics, Rash, ThrombocytopeniaComment

Not Just Honey: A Case of Infantile Botulism

A 4 month-old ex-full term infant presents to the ED unresponsive. He is immediately brought to the trauma room and history is gathered from his mother…

Critical Care, Infectious Disease, Pediatrics, ToxicologyBrett MurrayDecember 6, 2019Pediatrics, Toxicology, Infectious Disease, BotulismComment

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