In the latest Case Record of the Massachusetts General Hospital, a 4-year-old boy was admitted to this hospital because of fever and abdominal pain. Imaging revealed a periappendiceal mass; purulent fluid was aspirated, and symptoms resolved with antibiotics. One week later, pain recurred. A diagnostic procedure was performed. Infection is probably the most common cause… Read More…
In the latest Case Record of the Massachusetts General Hospital, a 15-year-old boy had intermittent abdominal pain and diarrhea for 8 months. The abdomen was mildly tender. There was iron deficiency and occult blood in the stool. A diagnostic test was performed. In an older child presenting with abdominal pain and an abdominal CT scan… Read More…
In the latest Case Record of the Massachusetts General Hospital, a 10-month-old girl was seen in the emergency department because of vomiting and episodes of unresponsiveness, which had begun suddenly 7 hours earlier. She gradually became somnolent. Vital signs, a physical examination, and brain imaging were normal. The immediate approach to a child who presents… Read More…
What ferocious creature is responsible for over half a million deaths annually among children under five? It isn’t lions, or killer bees, or Rottweilers gone rabid: It’s rotavirus. This villainous pathogen is the most common cause of severe diarrhea among infants and young children worldwide, resulting in hundreds of thousands of childhood deaths in the… Read More…
