OBJECTIVE To investigate the renal outcomes of children after exposure to low dose melamine in Hong Kong. DESIGN Cross sectional study. SETTING Special assessment centres, Hong Kong. PARTICIPANTS 3170 children (1422 girls and 1748 boys) aged 12 years or less referred from territory-wide primary care clinics after daily consumption for one month or… (More)
Purpura fulminans (PF) is an ominous cutaneous condition usually associated with meningococcemia. PF in the newborn is rarely reported. We report the case of a female preterm infant with extensive PF due to group B streptococcus (GBS) septicemia. She developed multi-organ system failure despite neonatal intensive care support and succumbed 9 days later.… (More)
Cullen's sign or periumbilical ecchymosis, is classically considered as an indicator of acute hemorrhagic pancreatitis or ruptured ectopic pregnancy. Internal iliac artery aneurysms are rare and are usually asymptomatic. We present a case of a contained rupture of the internal iliac artery aneurysm presenting with Cullen's sign.
We report a young girl who died of Streptococcus pneumoniae 19A pneumonia, septic shock, and hemolytic uremic syndrome despite prior pneumococcal vaccination, appropriate antibiotics, and aggressive intensive care support. Serotype 19A is not covered by the 7- or 10-valent pneumococcal vaccines. Mycoplasma pneumoniae and metapneumovirus were simultaneously… (More)
BACKGROUND Etiologies of pediatric intensive care unit (PICU) mortality are diverse. This study aimed to investigate the pattern of PICU mortality in a regional trauma center, and explore factors associated with prolonged non-survival. METHODS Demographic data of all PICU deaths in a regional trauma center were analyzed. Factors associated with prolonged… (More)
Currently, high-energy pulses as short as 4 to 5 fs at a center wavelength of 800 nm are generated by external compression at kHz and 1 MHz repetition rates, respectively. 6 These pulse widths correspond to less than two optical cycles. The shortest pulses generated at the higher repetition rate of 100 MHz have been 6.5 fs 7 and 7 fs. 8 For high-resolution… (More)