Posts Tagged ‘intussusception’

Intussusception Risk after Rotavirus Vaccination

Posted by Joann Schulte • February 5th, 2014

Rotavirus vaccines have emerged as important vaccines in preventing severe childhood diarrhea and, in low-income countries, deaths.  As a class of vaccines, they have accelerated the development of surveillance systems to monitor vaccine safety. Two trials recently published in NEJM evaluated the risk of intussception in young infants in the context of the overall health… Read More…

Fever and Abdominal Pain in a Child

Posted by Sara Fazio • April 13th, 2013

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…

A 15-Year-Old Boy with Abdominal Pain

Posted by Sara Fazio • August 17th, 2012

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…

Vomiting and Unresponsiveness

Posted by Sara Fazio • April 20th, 2012

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…

Rotavirus Vaccination: Mortality Benefit and Intussusception Risk

Posted by John Staples • June 15th, 2011

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…