A 5-year-old girl has come to you a week after completing a course of antibiotics for a febrile urinary tract infection (UTI). She now seems well and energetic. A urinalysis is now clear without traces of inflammation, including an absence of protein, blood, leukocyte esterase, and nitrites. Her urine is submitted for a test of cure and comes back positive, with over 100,000 colonies per millil...

C.v.B. is a girl who was born of psychopathic criminal and, in all probability, mentally subnormal parents. Her mental and physical development was backward from birth; at the age of 4 she could walk but did not speak. Earlier data are lacking. She stayed in several children's homes, and from the age of 9 she was in the Institution for Mentally Deficient Children in Noordwijk. At the age of 1 1...

patch, this lip was not swollen. The girl was running a temperature between 100.4?F. and 102?F., from the beginning of her illness. Moist sounds could be heard over both the lungs, especially over the left base. She was given prontosil album from that morning, besides local treatment. Exactly how the ulcer developed could not be learned from the parents; all that could be gathered was that it h...

I felt the world narrow as I looked at her, a frail woman tonight thin and grey, lent animus by memory and desperation and loneliness. She gestured weakly as I came to her and said something, muffled, under the thick, coiled tubing which snaked to the mask bound about her face. I took the straps off, and at this early morning hour she straightened her hair feebly, gazing in the darkness as the ...

CME EDUCATIONAL OBJECTIVES: 1.Identify the clinical features of loose anagen syndrome.2.Distinguish between loose anagen syndrome and other types of alopecia in a young child.3.Understand the natural history of loose anagen syndrome. A healthy 3-year-old white girl presented to the pediatric dermatology clinic for evaluation of thin hair. She was born with little hair and slowly grew thin blond...

We present a case of leptospirosis in a previously healthy girl following a trip to Costa Rica. While she was clinically asymptomatic, she had spirochetes cultured from her urine six weeks following her trip. Prolonged urinary shedding following infection with Leptospira is possible in humans and often has subtle manifestations in children.

we report the case of a three-year-old girl who complained from dysphagia and post-prandial vomiting since she was 6months old. several diagnostic work-ups were performed for her problem. upper gi endoscopy was normal but barium swallow revealed an external pressure effect over upper part of the esophagus (figure 1) and the ct angiography of thoracic aorta showed that this external pressure eff...

C A S E A 12-month-old previously healthy girl was admitted after having 8 days of intermittent fever and rash; she also developed bilateral hand swelling the day of admission. Her rash consisted of erythematous macules over her arms, torso, back, and face. She had no evidence of conjunctival injection, lymphadenopathy, or mucositis. On admission, she was febrile at 39.1°C, her white blood cell...

Mary Canaga Rowland died in 1966 at the age of 93. Her life spanned one of our planet's most eventful eras. When she was a young girl, her family and neighbors hid from raids by the Sioux Indians on their frontier settlement. In her later years, she was fascinated by newsreels of atomic explosions. Her life as a doctor was always at the core of her existence, as she describes in a poem at the e...