Cat-scratch disease in a child with unique magnetic resonance imaging findings

Article Abstract:

A 10-year-old boy entered the hospital with fever, abdominal pain, sore throat, and joint pain. He had been given antibiotics by his physician for his sore throat, but his symptoms continued. A bone scan showed evidence of a possible bone infection, and further tests were conducted. Magnetic resonance imaging (MRI) showed abnormal bone marrow changes in his pelvis and spine. An antibody test was diagnostic for cat-scratch disease, an infection spread by cat bites or scratches. The changes seen in the MRI images may have indicated early bone marrow changes caused by the infection.

Diagnosis, Magnetic resonance imaging, Cat-scratch disease

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Methodological difficulties in assessing contributions by community-based organizations to improving child health

Article Abstract:

Evaluating the effectiveness of community health organizations in improving child health can be complicated by the diversity of services offered. Community organizations can effectively reach medically underserved populations, providing culturally appropriate health promotion messages, health services, and referrals to care. Measuring the impact of these efforts can be difficult. Community organizations deal with patients who may not have regular physicians, so documentation of care is complicated. Broad assessments of outreach efforts may miss details about individual programs.

Editorial, Methods, Evaluation, Community health services, Public health, Child health services, Community health services for children

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Treatment of the acute crisis in maple syrup urine disease

Article Abstract:

A mixture of amino acids lacking leucine, isoleucine and valine can be delivered through a feeding tube to treat maple syrup urine disease. This metabolic disorder is characterized by increased blood levels of leucine, isoleucine and valine, which can be toxic. Researchers used a nasogastric tube to feed two children with toxic levels of these amino acids. The feeding solution contained amino acids but not leucine, isoleucine or valine. This treatment forces these three amino acids to be incorporated into protein, thus lowering blood levels.

Health aspects, Care and treatment, Enteral feeding, Enteral nutrition, Amino acids, Maple syrup urine disease

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