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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Patterns of Fever01:26

Patterns of Fever

Before understanding the types and patterns of fever, it is essential to know its phases.
Pulmonary Tuberculosis III01:31

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
Types of Fever01:25

Types of Fever

Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:

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Related Experiment Videos

Kawasaki disease without fever.

Claas H Hinze1, Thomas B Graham, Jamie S Sutherell

  • 1Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. aas.hinze@gmail.com

The Pediatric Infectious Disease Journal
|September 10, 2009
PubMed
Summary

Kawasaki disease (KD) typically involves fever, but this case shows coronary aneurysms can develop without it. Diagnosing KD in infants is challenging, especially when classic fever symptoms are absent.

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Area of Science:

  • Pediatrics
  • Cardiology
  • Immunology

Background:

  • Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
  • The classic presentation of KD includes prolonged fever, rash, conjunctivitis, and extremity changes.

Observation:

  • A 3-month-old infant presented with clinical manifestations suggestive of KD.
  • Notably, this infant's presentation lacked the characteristic prolonged fever.

Findings:

  • Despite the absence of fever, the infant developed coronary artery aneurysms, a severe complication of KD.
  • This highlights atypical presentations of Kawasaki disease in very young infants.

Implications:

  • The case underscores the diagnostic challenges of Kawasaki disease in infants under 6 months.
  • Early recognition and treatment are crucial to prevent coronary artery damage, even with atypical symptoms.
  • Further research into febrile-less KD presentations is warranted for improved infant outcomes.