Meningitis case outlines urgent need for rapid diagnosis
A three year old in the emergency room presents with fever, nausea, confusion, and neck stiffness. Positive Brudzinski and Kernig signs prompt immediate testing, including lumbar puncture to identify bacterial, viral, or fungal causes, guiding treatment and hospital stay.
MENTIONED IN THIS ARTICLE
Lawrence K. Altman
M.D
N. Y
Bill
Causes and diagnosis of bacterial meningitis in children
The pediatrician notes Haemophilus influenzae as the commonest bacterial meningitis cause in children under six, especially under two. New evidence suggests contagion. preventive treatment for Bill’s family and daycare contacts is considered. Lab tests show high protein and low sugar in Bill’s spinal fluid, with about 10,000 white cells per milliliter, aiding differentiation from viral meningitis.
MENTIONED IN THIS ARTICLE
Bill
Bill's Meningitis Case Highlights Antibiotic Choices
A doctor suspects H influenzae meningitis from Gram stain of Bill's spinal fluid and selects therapy balancing blood spinal fluid barrier penetration and drug toxicity. Ampicillin resistance prompts adding chloramphenicol. later sensitivity tests guide adjustments amid rising partially treated meningitis risks and high medical costs.
MENTIONED IN THIS ARTICLE
Bill
Questions of the Heart and Pacemakers Explained
A medical Q and A explains why some people need a pacemaker when the natural heart rhythm fails, and notes the heart’s pump action with about 100,000 beats daily. It also covers vitamin E myths, congestive heart failure symptoms, treatment basics, and guidance on taking heart medications during vomiting episodes.
Dear Ann Landers readers on mothers and sex life
A reader argues that men are judged for clinging to mothers while women vary in contact with theirs. Ann replies that frequency and proximity matter, and that healthy daily check-ins across town aren’t sick. In a second letter a hysterectomy question is answered with reassurance that sexual pleasure can continue post op with possible lubrication needs.
MENTIONED IN THIS ARTICLE
Ann
New York to Honor Women in Business Week
More than 20 000 women in the New York metropolitan area are set to join Women in Business Week from October 14 to 20. About 40 top city corporations will offer programs on credit communications fashion and retailing. Association president Alexandria Hatcher notes topics range from loan applications and estate planning to events by authors actors and designers.
MENTIONED IN THIS ARTICLE
New York
New York Metropolitan Area
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