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Culture Documents
Monday, 8/24/15
Mitch Peterson
Differential Diagnosis
51 day old male with history of prematurity who presents with
apnea and fever.
Differential Diagnosis
Infectious
Urinary Tract Infection
Bronchiolitis vs Pneumonia
Sepsis/Bacteremia
Meningitis
Neurological
Non-accidental trauma
Seizure
Chiari malformation
Apnea of prematurity
Respiratory
Foreign body aspiration
Aspiration Pneumonitis
Congenital pulmonary airway malformation (CPAM)
22
20
165
Protein 5.4
9.3
Albumin 3.7
Bilirubin 0.9
0.2
8
9.5
6.2
6.2
27.
8
(11%B, 60%N, 20%L, 8%M,
1%E)
Urinalysis: negative
RFA PCR: negative
Enterovirus Classification
Old School:
Poliovirus, Coxsackie A, Coxsackie B, Echovirus, Numbered
New School:
Poliovirus, Enterovirus A, B, C, D
coxsackie A9, coxsackie B4, echovirus 6, and EV-69 are all listed
under the species human enterovirus B.
http://www.enterovirusfoundation.org/scientificclass.shtml
Enterovirus Diseases
Viral Exanthem and Fever
Herpangina (Coxsackie A)
Hand-Foot-Mouth Disease (Coxsackie A)
Myocarditis (Coxsackie B)
Respiratory Illness (Enterovirus D68 in Fall, 2014)
Meningitis/Encephalitis
Febrile Infant
Protocol
Significance
Enterovirus PCR
testing.
Note that we
recommend testing
seasonally (June through
November) and always
with a finding of CSF
pleocytosis.
Enterovirus IVIG
Does IVIG administration improve neurological outcomes in
critically ill neonates with enterovirus meningitis?