Abstract
A febrile child without a definite localizing sign of infection may be in initial phase of bacteremia which unless treated would result in systemic complication. These instances are referred to as “Occult bacteremia”. The common pathogens isolated in these children areStreptococcus pneumoniae, Hemophilus influenzae andNeisseria meningitidis. A hundred consecutive children in the age group of 3–36 months attending pediatric outpatient department and casualty were clinically evaluated using AIOS (acute illness observation scale) score and were subjected to complete blood counts, smear for malarial parasites, ESR and blood culture. In the 19-month study period, 4 instances of occult bacteremia were identified.Streptococcus pneumoniae was cultured in 3 cases andH. influenzae in one. A febrile and toxic child in the age group of 3–36 months has a high risk of occult bacteremia. High fever of temperature ≥ 102°F, ESR ≥ 15 mm/hour, and total leukocyte count ≥ 15,000 / mm3, in a child with AIOS score of ≥ 10 may be considered for more detailed investigations and early intervention with antimicrobial therapy.
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References
Marks M I. Pediatric pneumonia: Viral or bacterial?J Respir Dis 1982; 3 : 108–115.
Torphy DE, Rays CG. Occult pneumococcal bacteremia.Am J Dis Child 1970; 119: 336–338.
Baron MA, Fink HD. Bacteremia in private pediatric practice.Pediatrics 1980; 66:171–175.
Jaffe DM. Occult bacteremia in children.Adv Pediatr Infect Dis 1994; 9: 237–254.
Teele DW, Marshall R, Klein JO. Unsuspected bacteremia in young children.Pediatr Clin N Amer 1979; 26: 773–784.
McCarthy PL, Jekel JF, Dolan TF. Temperature greater than or equal to 40° C in children less than 24 months of age: A prospective study.Pediatrics 1977; 59: 663–668.
McCarthy PL, Robert M, Limboet al. Observation, history and physical examination diagnosis of serious illnesses in febrile children 24 months.J Pediatr 1986; 110/1: 26–30.
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Jamuna, R., Srinivasan, S. & Harish, B.N. Factors predicting occult bacteremia in young children. Indian J Pediatr 67, 709–711 (2000). https://doi.org/10.1007/BF02723923
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DOI: https://doi.org/10.1007/BF02723923