RESUMO
We report an unusually high number of cases (n = 26) of parechovirus infections in the cerebrospinal fluid (CSF) of neonates and infants admitted with sepsis in the United Kingdom during 8 May to 2 August 2016. Although such infections in neonates and infants are well-documented, parechovirus has not been routinely included in many in-house and commercial PCR assays for CSF testing. Clinicians should consider routine parechovirus testing in young children presenting with sepsis.
Assuntos
Líquido Cefalorraquidiano/virologia , Parechovirus/isolamento & purificação , Infecções por Picornaviridae/diagnóstico , Sepse/epidemiologia , Sepse/virologia , Feminino , Genótipo , Hospitalização , Humanos , Lactente , Recém-Nascido , Tempo de Internação/estatística & dados numéricos , Masculino , Parechovirus/genética , Infecções por Picornaviridae/epidemiologia , Infecções por Picornaviridae/virologia , RNA Viral , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Análise de Sequência de DNA , Reino Unido/epidemiologiaRESUMO
The authors report the case of a 4-year-old boy who presented to the emergency department with acute post-traumatic winging of right scapula following a fall onto his back. The x-ray of his right shoulder showed no fracture. An MRI Scan of cervical spine and brachial plexus did not reveal any abnormalities. He was managed conservatively with regular physiotherapy. At 2 years follow-up, there was no improvement in the winging of his right scapula. He was asymptomatic at rest but complains of pain in the right scapular and shoulder region during swimming limiting his swimming activity. Currently he was being evaluated by the orthopaedic team for corrective surgery.
Assuntos
Escápula/lesões , Dor de Ombro/etiologia , Acidentes por Quedas , Pré-Escolar , Humanos , MasculinoRESUMO
The authors report the case of a 4-year-old boy who presented to the emergency department with acute post-traumatic winging of right scapula following a fall onto his back. The x-ray of his right shoulder showed no fracture. An MRI Scan of cervical spine and brachial plexus did not reveal any abnormalities. He was managed conservatively with regular physiotherapy. At 2 years follow-up, there was no improvement in the winging of his right scapula. He was asymptomatic at rest but complains of pain in the right scapular and shoulder region during swimming limiting his swimming activity. Currently he was being evaluated by the orthopaedic team for corrective surgery.