scholarly journals Urticarial eruption in COVID-19-positive children: A report of two cases

2022 ◽  
Vol 13 (1) ◽  
pp. 47-49
Author(s):  
Shikhar Ganjoo ◽  
Resham Vasani
Keyword(s):  
Respiratory Symptoms ◽  
Recent Literature ◽  
Febrile Illness ◽  
Febrile Episode ◽  
High Index ◽  
Early Administration ◽  
First Case ◽  
Upper Respiratory ◽  
High Index Of Suspicion ◽  
Upper Respiratory Symptoms

Recent literature has reported a variety of dermatological manifestations in children and adults associated with COVID-19. Herein, we report urticarial eruptions in two COVID-19-positive children. In the first case, urticaria with angioedema preceded a febrile episode and only partially responded to conventional doses of antihistamines. In the second case, urticaria followed the appearance of fever and upper respiratory symptoms. Both cases recovered completely within two weeks of diagnosis. These cases demonstrate that urticaria and angioedema, precedent or following a febrile illness, with or without respiratory symptoms, may be a presenting symptom of COVID-19 infection in children. A high index of suspicion in such cases helps the early administration of treatment and isolation of the patients to limit the spread of the virus.

scholarly journals A 12-month follow-up of an influenza vaccination campaign based on voluntary adherence: report on upper-respiratory symptoms among volunteers and non-volunteers

2001 ◽  
Vol 119 (4) ◽  
pp. 142-145 ◽  
Author(s):  
Páris Ali Ramadan ◽  
Francisco Barreto de Araújo ◽  
Mario Ferreira Junior
Keyword(s):  
Respiratory Symptoms ◽  
Respiratory Infections ◽  
Vaccination Campaign ◽  
Influenza Like Illness ◽  
Upper Respiratory Infections ◽  
Medical Consultations ◽  
History Of ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

CONTEXT: Routine immunization of groups at high risk for influenza has been progressively implemented as a matter of Brazilian public health policy. Although the benefits of the vaccination for healthy young adults are still controversial, it has been offered yearly to hundreds of thousands of Brazilian workers, generally as part of wellness initiatives in the workplace. OBJECTIVE: To study the characteristics of subjects that accepted or refused to be vaccinated against influenza and to report on respiratory symptoms in both groups, one year after the campaign date. DESIGN: A prospective observational study. SETTING: Workers at a subsidiary of an international bank in São Paulo, Brazil. PARTICIPANTS: 124 persons that did not accept and 145 that voluntarily accepted the vaccine completed 12 months of follow-up. MAIN MEASUREMENTS: Data concerning gender, age, tobacco use, and any history of chronic respiratory illness such as asthma, bronchitis, rhinitis, and repetitive upper-respiratory infections, were recorded at the time of vaccination. After that, workers were asked monthly by questionnaire or telephone about respiratory symptoms, days of work lost and medical consultations. RESULTS: The results showed statistically significant differences regarding age (P = 0.004) with the vaccinated group (V) being younger than the non-vaccinated (NV) one, and with reference to previous repetitive upper-respiratory infections being higher among the V group (P < 0.0001). During the follow-up, the V group reported more occurrences of upper respiratory symptoms (P < 0.0001), due to both non-influenza (P < 0.0001) and influenza-like illness (P = 0.045). Differences were also found between V and NV groups concerning days off work and number of medical consultations due to upper-respiratory symptoms and non-influenza illness. Gender and history of repetitive upper-respiratory infections were the best predictors of influenza-like illness-related events. CONCLUSIONS: The making of previous reference to repetitive upper-respiratory infections was a major difference between those who accepted or rejected the vaccine. The vaccination itself was not sufficient to reduce the number of occurrences of respiratory symptoms and related absenteeism to levels similar to those found among non-vaccinated people.

Should We Prescribe Antibiotics to This Patient With Persistent Upper Respiratory Symptoms?

2017 ◽  
Vol 166 (3) ◽  
pp. 201 ◽  
Author(s):  
Howard Libman ◽  
Diane M. Brockmeyer ◽  
Howard S. Gold
Keyword(s):  
Respiratory Symptoms ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

scholarly journals Comparative viral frequency in Mexican children under 5 years of age with and without upper respiratory symptoms

2003 ◽  
Vol 52 (7) ◽  
pp. 579-583 ◽  
Author(s):  
M. E. Manjarrez ◽  
D. P. Rosete ◽  
M. Rincón ◽  
J. Villalba ◽  
A. Cravioto ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Mexican Children ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms ◽  
Children Under 5

The Occupational Health Effects of Responding to a Natural Gas Pipeline Explosion Among Emergency First Responders – Lincoln County, Kentucky, 2019

2021 ◽  
pp. 1-8
Author(s):  
David P. Bui ◽  
Esther A. Kukielka ◽  
Erin F. Blau ◽  
Lindsay K. Tompkins ◽  
K. Leann Bing ◽  
...  
Keyword(s):  
Health Care ◽  
Natural Gas ◽  
Occupational Health ◽  
Health Effects ◽  
Respiratory Symptoms ◽  
First Responders ◽  
Gas Pipeline ◽  
Natural Gas Pipeline ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

Abstract Objective: The aim of the study was to assess occupational health effects 1 month after responding to a natural gas pipeline explosion. Methods: First responders to a pipeline explosion in Kentucky were interviewed about pre- and post-response health symptoms, post-response health care, and physical exertion and personal protective equipment (PPE) use during the response. Logistic regression was used to examine associations between several risk factors and development of post-response symptoms. Results: Among 173 first responders involved, 105 (firefighters [58%], emergency medical services [19%], law enforcement [10%], and others [12%]) were interviewed. Half (53%) reported at least 1 new or worsening symptom, including upper respiratory symptoms (39%), headache (18%), eye irritation (17%), and lower respiratory symptoms (16%). The majority (79%) of symptomatic responders did not seek post-response care. Compared with light-exertion responders, hard-exertion responders (48%) had significantly greater odds of upper respiratory symptoms (aOR: 2.99, 95% CI: 1.25–7.50). Forty-four percent of responders and 77% of non-firefighter responders reported not using any PPE. Conclusions: Upper respiratory symptoms were common among first responders of a natural gas pipeline explosion and associated with hard-exertion activity. Emergency managers should ensure responders are trained in, equipped with, and properly use PPE during these incidents and encourage responders to seek post-response health care when needed.

Infant Dengue a 10-Year Experience from a Tertiary Center in South India

2021 ◽  
Author(s):  
Nabaneeta Dash ◽  
Reshmi Aby ◽  
Madhan Kumar ◽  
Asha Mary Abraham ◽  
Winsley Rose
Keyword(s):  
Serum Albumin ◽  
Respiratory Symptoms ◽  
South India ◽  
Immunoglobulin M ◽  
Severe Dengue ◽  
Severe Thrombocytopenia ◽  
Lower Serum ◽  
Tertiary Center ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

Dengue remains a major problem in the tropics. Several Asian countries have reported an increasing trend in the proportion of infants with dengue fever. However, most studies are limited to case reports or small case series from isolated outbreaks. We planned this study to look at clinico-laboratory profile, outcome, and predictors of severity in a large cohort of infants over a decade. Electronic medical records of infants admitted at a tertiary center of South India, with laboratory confirmed dengue infection between 2009 and 2019 were reviewed. Diagnosis was based on detection of NS-1 antigen and/or immunoglobulin M antibody against DENV(dengue virus) or positive DENV RNA polymerase chain reaction in infants presenting with acute febrile illness and clinical features consistent with dengue. Of 395 children with dengue admitted during study period, 99 (25%) were infants. A cyclical incidence pattern was noted, with higher cases in alternate years. Fever (99%) was most common, followed by gastrointestinal symptoms (vomiting, diarrhea—28%) and upper respiratory symptoms (cough, coryza—22%). Fifty-three infants had severe dengue, and 39 had shock. Fourteen children had multiorgan dysfunction syndrome, and 13 died. Infants with severe dengue were older than those with nonsevere disease, had lower serum albumin and greater frequency of severe thrombocytopenia, and had coagulopathy. On multivariable analysis, low serum albumin predicted development of severe dengue [P = 0.003, odds ratio 12.4 (95% confidence interval: 2.42–63.7)]. Dengue in infants may be challenging to recognize because of its undifferentiated presentation, with gastrointestinal and upper respiratory symptoms that are similar to other viral illness. Severe dengue is common in this sample, and lower serum albumin at presentation was predictive of severe disease.

scholarly journals Upper respiratory symptoms (URS) and salivary responses across a season in youth soccer players: A useful and non-invasive approach associated to URS susceptibility and occurrence in young athletes

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0236669
Author(s):  
Renata Fiedler Lopes ◽  
Luciele Guerra Minuzzi ◽  
António José Figueiredo ◽  
Carlos Gonçalves ◽  
Antonio Tessitore ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Soccer Players ◽  
Young Athletes ◽  
Invasive Approach ◽  
Youth Soccer ◽  
Non Invasive ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

scholarly journals Genitourinary tuberculosis in North America: A rare clinical entity

2015 ◽  
Vol 9 (7-8) ◽  
pp. 484 ◽  
Author(s):  
Michael W Sourial ◽  
Fadi Brimo ◽  
Ruth Horn ◽  
Sero Andonian
Keyword(s):  
North America ◽  
Percutaneous Nephrolithotomy ◽  
Left Kidney ◽  
Granulomatous Inflammation ◽  
Renal Stones ◽  
High Index ◽  
Canadian Woman ◽  
Radiologic Findings ◽  
First Case ◽  
High Index Of Suspicion

Introduction: Although tuberculosis (TB) is the most common cause of mortality from infectious diseases worldwide, genitourinary TB in North America is rare. We review 3 cases of genitourinary TB diagnosed within the last 5 years.Cases: The first case is that of a 76-year-old African-Canadian woman who was referred for percutaneous nephrolithotomy of right lower pole renal stones. Although renal TB was suspected, her initial urinary TB culture was negative. On follow-up imaging, she developed bilateral ureteral thickening and ureteroscopic biopsy confirmed necrotizing granulomata. Repeat urine cultures were positive for M. tuberculosis. The second case is a 73-yearold Italian-Canadian woman who was referred for ureteroscopic biopsy of left thickened ureter to rule out urothelial carcinoma. Initial urine TB cultures were negative, despite biopsies confirming granulomatous inflammation. She was closely followed with urine cytologies and TB cultures. Repeat urine culture was positive for M. tuberculosis. Both patients were treated with a course of anti-tuberculous agents and indwelling ureteral stents to relieve ureteral obstruction. The third case is a 70-year-old Cree woman who was referred for percutaneous nephrolithotomy of a left “staghorn stone” in an atrophic left kidney. Thirty years earlier she had been treated for pulmonary TB in addition to ileocystoplasty for a “thimble” bladder. A computed tomography scan showed autonephrectomized left kidney. Her urine TB cultures were negative. She was placed on prophylactic antibiotics for her recurrent bacterial urinary tract infections.Conclusion: Genitourinary TB may present in various subtle ways, and the astute clinician must have a high index of suspicion for this disease in patients with atypical clinical and radiologic findings. In addition, TB urine cultures should be repeated when there is high index of suspicion.

Upper Respiratory Symptoms Associated With Aging of the Ventilation System in Artificially Ventilated Offices in São Paulo, Brazil

CHEST Journal ◽  
2002 ◽  
Vol 122 (2) ◽  
pp. 729-735 ◽  
Author(s):  
Gustavo S. Graudenz ◽  
Jorge Kalil ◽  
Paulo H. Saldiva ◽  
Walderez Gambale ◽  
Maria do Rosário D.O. Latorre ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Ventilation System ◽  
Sao Paulo ◽  
São Paulo ◽  
Upper Respiratory ◽  
Upper Respiratory Symptoms

scholarly journals Anti-NMDA Encephalitis: A Rare Encephalitis in a Child- A Case Report

2020 ◽  
Vol 19 (2) ◽  
pp. 108-111
Author(s):  
Saurav Khetan ◽  
Nikhil Agrawal ◽  
Prakash Rajoli
Keyword(s):  
Case Report ◽  
Japanese Encephalitis ◽  
Viral Encephalitis ◽  
Psychiatric Symptoms ◽  
Autoimmune Encephalitis ◽  
High Index ◽  
First Case ◽  
High Index Of Suspicion

Anti-NMDA encephalitis is second commonest cause of autoimmune encephalitis among children; however, it is hardly diagnosed and often not considered as one of the differentials when a child presents with encephalitis-related symptoms. In children, it presents mostly with seizures or psychiatric symptoms without prodrome. Here we present a six years old girl who presented with seizures and inappropriate behaviour. We investigated her in the line of viral encephalitis such as Japanese Encephalitis, which is very common in our region. However, results were not suggestive of Japanese Encephalitis and further investigations subsequently lead to diagnosis of anti- NMDA encephalitis. This is probably one of the first case report of this disease in our country. We want to highlight the significance of high index of suspicion for looking out for an organic cause in any child who presents with psychiatric symptoms, along with seizures.

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