An 8‐Year‐Old Boy with Fever, Axillary Ulcerative Lesion, and Altered Mental Status
| العنوان: | An 8‐Year‐Old Boy with Fever, Axillary Ulcerative Lesion, and Altered Mental Status |
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| المؤلفون: | Robert R. Wittler, Philip A. Mackowiak, Jamie Page |
| المصدر: | Clinical Infectious Diseases. 48:1266-1267 |
| بيانات النشر: | Oxford University Press (OUP), 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Male, Microbiology (medical), Pathology, medicine.medical_specialty, Gastroenterology, Meningitis, Bacterial, Tularemia, Lesion, Altered Mental Status, Internal medicine, Humans, Medicine, Child, Francisella tularensis, Cerebrospinal Fluid, Doxycycline, Atypical Lymphocyte, medicine.diagnostic_test, business.industry, Lumbar puncture, Wright's stain, medicine.disease, Cerebrospinal Fluid Shunts, Anti-Bacterial Agents, Infectious Diseases, El Niño, Axilla, medicine.symptom, business, Hydrocephalus, medicine.drug |
| الوصف: | Wright stain of the patient’s CSF sample, revealing 87%lymphocytes (including many atypical lymphocytes) and 13% neutrophils.Diagnosis: tularemia with meningitis.After the lumbar puncture was performed, intravenous cef-triaxone was added to the patient’s vancomycin therapy, andlater that day, treatment with intravenous doxycycline and gen-tamicin was initiated, because tularemia was suspected on thebasis of the axillary lesion (figure 1) and a predominance oflymphocytes (figure 2) in the CSF cell count (87% lymphocytes;13% neutrophils). The CSF culture grew |
| تدمد: | 1537-6591 1058-4838 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3abb7471208dac79431cee955852cf9eTest https://doi.org/10.1086/597588Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3abb7471208dac79431cee955852cf9e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15376591 10584838 |
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