RESUMO
A 7-week-old girl, born at 30 weeks' gestational age, presented to clinic for evaluation of a crop of vesicular lesions that were noted after removal of a bandage that had been in place for 4 days. A punch biopsy of the lesion revealed fungal elements that were later identified as Rhizopus spp. The lesion began to self-resolve, and no further treatment was needed, with full resolution of the lesion by 1 month after presentation. Clinicians should be aware of the variable presentations of mucormycosis and consider fungal infection in the differential diagnosis when evaluating vulnerable patients with skin eruptions.
Assuntos
Mucormicose/diagnóstico , Rhizopus/isolamento & purificação , Feminino , Humanos , Lactente , Remissão Espontânea , Pele/microbiologia , Pele/patologiaRESUMO
The ongoing outbreak of Zika virus infection that began in South America and Central America in 2014 is worrisome because of associations with fetal microcephaly and with Guillain-Barré syndrome. Here we summarize what has happened and what is known so far. As the outbreak continues to evolve, we urge clinicians to watch for updates at cdc.gov.
Assuntos
Surtos de Doenças , Síndrome de Guillain-Barré/virologia , Microcefalia/virologia , Infecção por Zika virus , Zika virus , Centers for Disease Control and Prevention, U.S. , Feminino , Humanos , Masculino , Gravidez , Estados Unidos/epidemiologia , Infecção por Zika virus/epidemiologiaAssuntos
Doenças Transmissíveis/diagnóstico , Transmissão de Doença Infecciosa/prevenção & controle , Saúde da Família , Educação em Saúde/normas , Imunização , Medicina de Viagem , Criança , Pré-Escolar , Doenças Transmissíveis/transmissão , Comportamentos Relacionados com a Saúde , Humanos , Lactente , Anamnese , Guias de Prática Clínica como Assunto , Fatores de Risco , Síndrome , Viagem , Precauções UniversaisRESUMO
We assessed the relationship between breastfeeding and antimicrobial use in the first year of life in healthy infants by surveying a military population of healthy term infants with questionnaires obtained at the 6-month and 12-month well-baby visits. Breastfed (BF) babies spent 48% as much time receiving antimicrobials by 6 months of age and 47.4% by 12 months of age as compared to formula-fed peers. Breastfed babies also showed significant differences in use of second-line agents at both 6 months (BF=5.5%, Non-BF=19%) and 12 months (19% BF, nonBF=36.9%). These results suggest that breastfeeding decreases exposure of infants to antimicrobials throughout the first year of life and also decreases use of second-line antibiotics in the first year of life.