This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

FRANCIS LECLERC, MD; VALÉRIE HUE, MD; ALAIN MARTINOT, MD; FLORENCE DELEPOULLE, MD
Service de Réanimation Hôpital Calmette Bd du Pr J Leclercq 59037 Lille, France

Am J Dis Child. 1991;145(10):1090-1091.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—We agree with Tesoro and Selbst¹ that prognostic factors developed 30 years ago by Stiehm and Damrosch² are no longer helpful in treating meningococcal infections. Like Tesoro and Selbst, we observed³ that, of 27 children with severe purpura, 17 (63%) had Stiehm-Damrosch scores of 3 or greater (sedimentation rate was not analyzed), and seven (41%) of these 17 survived. (Five [55%] of nine patients who had Stiehm-Damrosch scores of 3 or greater in the study by Tesoro

and Selbst survived.) The main problem with most scores proposed in the literature is that they were defined in patients of different ages (adults and children) and with different diseases (septicemia, with or without shock; purpura with meningitis; and meningitis without septicemia).⁴ Scores for all forms of meningococcal infections are helpful, especially in the emergency department, for indicating early transfer in an intensive care unit. However, for all physicians, shock is . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?