Whoop, Whoop, Hooray

Henry Goldstein wrote an excellent article on pertussis a few years ago.  With some interesting new data coming to press with regard to risk factors for complications of the disease we thought it might be worthwhile doing some spaced repetition. “My childhood was full of deep sorrow – colic, whooping cough, dread of ghosts, hell,…

Passing the TORCH

6 year old Ella has been sent home from school as she has been itching all day.  When her mum, Val, picked her up she noticed a few spots and thought she better get them checked out.  You see the classical rash of chickenpox and reassure of the relatively benign nature of the illness and…

Parechovirus

A 2 week old baby, Isabelle, is rushed into the emergency department by her frantic parents. She is tachycardic to 220bpm, febrile to 39.5°C, with a widespread, blanching red rash. She is screaming and looks very unwell. She is rushed into a resus bay and the septic workup begins…

Tuberculosis - cough

Tuberculosis

Jamie is a 4 year old with ongoing pyrexia for a couple of weeks.  He has a mild cough but nothing else.  The family mention in passing that grandad recently had TB. Is this common in the developed world?  How would you recognise it and treat it?

Infantile botulism

Milla is a 4 month old girl, brought into ED by her parents.  She’s been quieter than normal for the last couple of days and today seems really weak and not sucking on the breast any more.  On examination she has poor head control and marked hypotonia.  They also mention a history of constipation for…