The authors remind physicians to consider babesiosis in the differential diagnosis of a febrile hemolytic disorder after a blood transfusion. Prompt diagnosis is important since babesiosis is responsive to antibiotic treatment and, untreated, can be a fatal disease. Among influenza vaccinees the cumulative days of febrile illness were 28.7 per 100 subjects compared to 40.6 in controls, and the days of absence were 9.9 per 100 subjects vs. 21.1 per 100 controls. The data support a policy of annual influenza vaccination of health care professionals. This study found that the dual therapy produced longer clinical remission than monotherapy with a b-lactam alone.
Children Are Different From adults, even when they have typhoid fever.
Relative bradycardia, a term indicating that the pulse is slower than would be expected for a given body temperature, has been considered a common feature of typhoid fever, especially during the first two weeks of the infection. Data are presented in the Mar '99 Clinical Infectious Diseases p582 showing that relative bradycardia is not characteristic of typhoid fever in children. Complete the post-test. To receive CME credit for this activity, answer the questions on the CME Credit Post-test Page.