This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hamrick, H. J. Articles by Murphy, C. T. F. Search for Related Content PubMed PubMed Citation Articles by Hamrick, H. J. Articles by Murphy, C. T. F. Pubmed/NCBI databases Medline Plus Health Information Ear Infections Sepsis Social Bookmarking                         What's this?

Bacteremia in 28 Ambulatory Children

Relationship to Pneumonitis and Meningitis

Assistant Professor, Department of Pediatrics. University of North Carolina School of Medicine, Chapel Hill, North Carolina

Captain Thomas F. Murphy, M.D.

United States Army, PSC 1, Box 21936, APO San Francisco, California

Bacteremia with known pathogens was documented in 28 acutely ill, febrile outpatients during a 29-month period. All of the children were previously healthy and were initially managed as outpatients. Eight patients presented with no identifiable focus of infection. Twenty patients had either otitis media or pneumonitis. An association between otitis media and bacteremia with H. influenzae type b was noted in 5 patients. Bacterial meningitis occurred subsequently in 7 patients (25 per cent); 1 death occurred in this group. The blood culture, as an outpatient procedure, was helpful in establishing a bacterial etiology in selected chidren with either high fever (with or without otitis media), febrile seizures, or pneumonia. In addition, the positive blood culture was a vital aid in identifying the young child at risk for meningitis.

Clinical Pediatrics, Vol. 17, No. 2, 109-112 (1978)
DOI: 10.1177/000992287801700202


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				E. D. Cox, M. A. Smith, and J. M. Bartell Managing Febrile Infants: Impact of Literature Recommendations Published During a Physician's Residency Eval Health Prof, September 1, 2005; 28(3): 328 - 348. [Abstract] [PDF]

				W. A. BONADIO Occult Bacteremia in Children With Simple Febrile Seizures Arch Pediatr Adolesc Med, March 1, 1989; 143(3): 273 - 274. [Abstract] [PDF]

				J. M. Chamberlain and R. L. Gorman Occult Bacteremia in Children With Simple Febrile Seizures Arch Pediatr Adolesc Med, October 1, 1988; 142(10): 1073 - 1076. [Abstract] [PDF]

				M. A. Mufson Pneumococcal Infections JAMA, October 23, 1981; 246(17): 1942 - 1948. [Abstract] [PDF]

				H. M. Feder JR Occult Pneumococcal Bacteremia and the Febrile Infant and Young Child: A Clinical Review Clinical Pediatrics, July 1, 1980; 19(7): 457 - 462. [Abstract] [PDF]