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Principles and Practice of Pediatric Infectious Diseases E-Book

Principles and Practice of Pediatric Infectious Diseases E-Book

Sarah S. Long | Larry K. Pickering | Charles G. Prober

(2012)

Abstract

Principles and Practice of Pediatric Infectious Disease provides the comprehensive and actionable coverage you need to understand, diagnose, and manage the ever-changing, high-risk clinical problems caused by pediatric infectious diseases. With new chapters, expanded and updated coverage, and increased worldwide perspectives, this authoritative medical reference offers the latest need-to-know information in an easily-accessible, high-yield format for quick answers and fast, effective intervention!

  • Spend less time searching thanks to a consistent, easily-accessible format featuring revised high-yield information boxes, highlighted key points, and an abundance of detailed illustrations and at-a-glance tables.
  • Be prepared for the unexpected! A veritable "who's who" of global authorities provides practical knowledge to effectively diagnose and manage almost any infectious disease you may encounter.
  • Quickly look up the answers you need by clinical presentation, pathogen, or type of host.
  • Get expanded coverage for all types of infectious diseases including new chapters on infection related to pets and exotic animals, and tickborne infections.
  • Apply the latest recommendations and treatments for emerging and re-emerging diseases including the H1N1 virus.

Table of Contents

Section Title Page Action Price
Front cover cover
Principles and Practice of Pediatric Infectious Disease i
Copyright page iv
Preface v
Acknowledgments vi
Dedication vi
Contributors vii
Table of Contents xxi
I Understanding, Controlling, and Preventing Infectious Diseases 1
A Epidemiology and Control of Infectious Diseases 1
1 Principles of Epidemiology and Public Health 1
Descriptive Epidemiology 1
Surveillance 1
Case Definition 1
Sensitivity, Specificity, and Predictive Value 1
Incidence and Prevalence 1
Describing Illness by Person, Place, and Time 2
Analytic Epidemiology 2
Study Design 2
Cohort Studies 3
Cross-Sectional Studies 3
Case-Control Studies 4
Causal Inference and the Impact of Bias 4
Statistical Analysis 5
Characteristics of Populations and Samples 5
Absolute and Relative Measures of Association 5
Statistical Significance 5
Sample Size 6
Statistical Inference 6
Vaccine Efficacy Studies 7
Disease Control and Public Health Policy 7
Outbreak Investigations 7
Impact and Economic Analysis of Disease Prevention 8
Evaluating the Medical Literature 9
Acknowledgment 9
References 9.e1
2 Pediatric Infection Prevention and Control 9
Risk Factors for HAIs in Children 10
Host or Intrinsic Factors 10
Sources or Extrinsic Factors 10
Devices. 10
Practices. 12
Antimicrobial selective pressure. 12
Transmission 12
Modes 12
Healthcare Personnel 13
Environment 13
Pathogens 13
Prevention 14
Administrative Factors 15
The IPC Team 15
Surveillance 16
Isolation Precautions 17
Standard Precautions 17
Transmission-Based Precautions 18
Environmental Measures 18
Visitation Policies 19
Pets 19
Disinfection, Sterilization, and Removal of Infectious Waste 21
Occupational Health 21
Special Concerns of Healthcare Personnel 21
Infection Prevention and Control in the Ambulatory Setting 24
References 24.e1
3 Infections Associated with Group Childcare 24
Childcare Arrangements 24
Epidemiology and Etiology of Infections 24
Enteric Infections 24
Rotavirus 26
Hepatitis A Virus 26
Respiratory Tract Infections 27
Influenza 28
Invasive Bacterial Infection 28
Viral Infections 28
Echovirus 28
Parvovirus B19 28
Cytomegalovirus 29
Bloodborne Viral Pathogens 29
Skin Infection and Infestation 29
Varicella Zoster 29
Herpes Simplex 30
Methicillin-Resistant Staphylococcus aureus 30
Vaccine-Preventable Diseases 30
Infections Associated With Animals 30
Antibiotic Use and Resistance Patterns 31
Infectious Diseases in Adults 31
Economic Impact of Group Childcare Illness 31
Prevention 31
References 32.e1
4 Infectious Diseases in Refugee and Internationally Adopted Children 32
Guidelines for Evaluation 33
Hepatitis A 33
Hepatitis B 33
Hepatitis C 34
Human Immunodeficiency Virus-1 and Human Immunodeficiency Virus-2 Infection 34
Tuberculosis 34
Enteric Infections 35
Chagas Disease (American Trypanosomiasis) 36
Syphilis 36
Other Testing 36
Other Infections 36
Dermatologic Infections 36
Upper Respiratory Tract Infections 36
Other Less Common Infections 36
Preventive Measures 36
Immunizations 36
Refugee children. 36
International adoptees. 36
References 37.e1
B Prevention of Infectious Diseases 37
5 Passive Immunization 37
Immune Globulin (Human) 38
Hepatitis A 38
Measles 38
Rubella 38
Specific Immune Globulins for Intramuscular Administration 38
Hepatitis B Immune Globulin (HBIG) 38
Human Rabies Immune Globulin (HRIG) 39
Tetanus Immune Globulin (TIG) 39
Varicella-Zoster Immune Globulin (VariZIG) 39
Immune Globulin Intravenous (Human) (Igiv) 39
Approved Indications 40
Primary Immune Deficiencies 40
Secondary Immune Deficiencies 40
Immunomodulation 40
Immune thrombocytopenic purpura. 40
Kawasaki disease. 41
Bone marrow transplantation. 41
Other Uses 41
Toxic shock syndrome. 41
Neonates. 41
Parvovirus B19. 41
Immune-mediated cytopenias. 41
Guillain–Barré syndrome (GBS). 41
Specific Immune Globulins for Intravenous Administration 41
Cytomegalovirus Immune Globulin (CMV-IGIV) 41
Botulism Immune Globulin (BIG-IV) 42
Vaccinia Immune Globulin (VIG-IV) 42
Monoclonal Antibodies 42
Immunoglobulin Products Prepared from Animal Plasma 42
Adverse Reactions to Immune Globulins Prepared from Human Plasma 42
Infusion-Related Reactions 42
Interference with Active Immunization 43
Transmission of Infectious Agents 43
Product Shortages 43
The Future 44
References 44.e1
6 Active Immunization 44
Immunization and Vaccines 44
Vaccine Content 44
Types of Vaccines 45
Immunologic Basis of Response to Vaccines 45
Immune Response to Active Immunization 45
Determinants of Response 46
Sites of Administration 46
Host Factors 46
Measurement of Response 46
Vaccine Licensure and Approval 47
Principles of Immunization Programs 47
Disease Reduction 47
Immunization Coverage 47
Vaccine Administration 48
Vaccine Schedules 48
Vaccine Spacing 48
Simultaneous Administration 48
Spacing of Antibody-Containing Products and Vaccines 48
Interchangeability of Vaccines 48
Vaccine Safety and Compensation for Vaccine Injury 52
Studies of Vaccine Safety 52
Monitoring of Vaccine Safety 53
Reporting System for Adverse Events after Immunization 53
Vaccination in Special Situations 53
Infants Who Weigh Less Than 2000 Grams 53
Pregnant Women 53
Immunocompromised People 54
International Travelers 54
Immigrants 54
International Adoptees 54
Other Programmatic Issues 54
Clinical Practice Guidelines for Child and Adolescent Immunization 56
Vaccine Shortages 56
Handling and Storage of Vaccines 56
Vaccine Financing 56
Surveillance for Vaccine-Preventable Diseases and Adverse Events 57
Routine Childhood and Adolescent Vaccines 57
Diphtheria and Tetanus Toxoids, and Pertussis Vaccines 57
Recommendations for DTaP Immunization for Children <7 Years of Age 57
Precautions and Contraindications 58
Recommendations for Tdap Immunization for Adolescents 11 through 18 Years of Age 58
Contraindications, Precautions, and Reasons to Defer Tdap or Td among Adolescents 11 through 18 Years of Age 58
Special Situations for Tdap (Single-Dose) and Td Use among Adolescents 11 through 18 Years of Age 58
Haemophilus influenzae Type b Conjugate Vaccines 58
II Clinical Syndromes and Cardinal Features of Infectious Diseases: Approach to Diagnosis and Initial Management 97
A Septicemia, Toxin- and Inflammation-Mediated Syndromes 97
11 The Systemic Inflammatory Response Syndrome (SIRS), Sepsis, and Septic Shock 97
Definitions 97
Etiology 97
Pathophysiology 98
Clinical and Laboratory Findings 99
Clinical Signs 99
Laboratory Findings 99
Management 99
Antimicrobial Therapy 99
Supportive Care 99
Endotoxin Physiology and Antiendotoxin Therapy 100
Cytokine Physiology and Anticytokine Therapy 100
Immunoparalysis 100
Arachidonic Acid Metabolism and Inhibitor Therapy 100
Immune Globulin Intravenous (IGIV) Therapy 100
Corticosteroids 100
Anticoagulant Therapies 102
Therapies Targeting the Endothelium 102
Nitric Oxide Balance 102
Innate Immune Responses and Toll-Like Receptors (TLRs) 102
Future Considerations 103
References 103.e1
12 Hemophagocytic Lymphohistiocytosis and Macrophage Activation Syndrome 103
Hemophagocytic Lymphohistiocytosis 103
Etiology and Incidence 103
Primary HLH 103
Secondary HLH 104
Pathogenesis 104
Clinical and Radiologic Features 105
Systemic Manifestations 105
CNS Manifestations 105
HLH in the Fetus and Neonate 105
Laboratory and Pathologic Findings 105
General 105
Clinical Immunology 106
Pathology 106
Evaluation for Infectious Diseases 106
Diagnosis 106
Differential Diagnosis 107
Treatment 107
General 107
Immunosuppression and Chemotherapy 107
Hematopoietic Stem Cell Transplantation 107
Prognosis 107
Macrophage Activation Syndrome 107
References 107.e1
B Cardinal Symptom Complexes 108
13 Mucocutaneous Symptom Complexes 108
Specific Distinguishing Characteristics 108
Fever and Prodrome 108
Conjunctiva 108
Lips 111
Oropharynx 111
Exanthem 111
Extremity Changes 112
Evolution and Resolution 112
Other Clinical Features and Cardinal Feature 113
Diagnosis and Empiric Therapy 113
References 114.e1
14 Fever without Localizing Signs 114
Etiologic Agents 114
Epidemiology 114
Children Younger than 3 Months 114
Children 3 Months and Older 115
Laboratory Findings and Diagnosis 115
Management 115
Children Younger than 3 Months 115
Children Older than 3 Months 116
Other Considerations 116
References 117.e1
15 Prolonged, Recurrent, and Periodic Fever Syndromes 117
Fever of Unknown Origin (FUO) 117
Definition and Approach 117
Etiology 118
Prolonged Insignificant Fever, Prolonged Illness with Resolved Fever, Fatigue of Deconditioning 121
Recurrent, Periodic, and Hereditary Periodic Fever Syndromes 121
Recurrent Fever 121
Periodic Fever Syndromes 121
Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis (PFAPA) 122
Epidemiology and Cardinal Clinical Features 122
Treatment and Outcome 123
Cyclic Neutropenia 123
Epidemiology and Etiology 123
Cardinal Clinical Features 123
Course, Treatment, and Outcome 124
Hereditary Periodic Fever Syndromes 124
Familial Mediterranean Fever (FMF) 124
Epidemiology and Etiology 124
Cardinal Clinical Features 124
III Etiologic Agents of Infectious Diseases 673
A Bacteria 673
114 Classification of Bacteria 673
Identification By Phenotypic Characteristics 673
Identification By Molecular Techniques 674
References 675.e1
Gram-Positive Cocci 675
115 Staphylococcus aureus 675
Microbiology and Pathogenesis 675
Capsule and Cell Wall 676
Surface Proteins 676
Toxins 676
Genetic Basis and Regulation of Pathogenicity Factors and Antimicrobial Resistance 676
Epidemiology 677
Colonization 677
Healthcare-Associated Infections (HAIs) 677
Community-Associated MRSA Infections 677
Vancomycin-Intermediate S. aureus (VISA) and Vancomycin-Resistant S. aureus (VRSA) Infections 678
Clinical Manifestations 678
Skin and Soft-Tissue Infections 678
Impetigo 678
Abscess 678
Cellulitis 678
Wound Infection 678
Ocular Infections 679
Invasive Infections 679
Osteomyelitis 679
Diskitis 680
Pyogenic Arthritis 680
Abscesses of Muscle and Viscera 680
Upper Respiratory Tract Infections 680
Head and Neck Infections 680
Tracheitis 681
Lower Respiratory Tract Infections 681
Pneumonia 681
Lung Abscess 681
Cardiovascular Infections 681
Endocarditis 681
Pericarditis 683
Suppurative Phlebitis and Septic Thrombophlebitis 683
Central Nervous System Infections 683
Meningitis 683
Brain Abscess 683
Spinal Epidural Abscess 684
Device-Related Infections 684
Indwelling Vascular Catheters 684
CSF Shunt Devices 684
Toxin-Mediated Syndromes 684
Staphylococcal Food Poisoning 684
Staphylococcal Scalded-Skin Syndrome (SSSS) 684
Toxic Shock Syndrome 685
Severe Sepsis Syndrome 685
Management 686
Antistaphylococcal Agents 686
β-Lactam Antibiotics 686
Clindamycin 686
Vancomycin 686
Linezolid 687
Trimethoprim-Sulfamethoxazole (TMP-SMX) 687
Tetracyclines (including Tigecycline) 687
Quinupristin-Dalfopristin 687
Daptomycin 687
Telavancin 688
Rifampin 688
Aminoglycosides 688
Empiric Therapy for Community-Associated Infections 688
Empiric Therapy for MRSA Infections Requiring Hospitalization 688
Prevention 689
Vaccine Development 689
References 689.e1
116 Staphylococcus epidermidis and Other Coagulase-Negative Staphylococci 689
Description of the Pathogen 690
Pathogenesis 690
Epidemiology 691
Clinical Manifestations 691
Bloodstream Infection and Intravascular Catheter-Related Infection Outside the Newborn Period 691
Neonatal Septicemia 692
Neonatal Focal Intestinal Perforation and Necrotizing Enterocolitis 692
Endocarditis 692
Cerebrospinal Fluid Shunt Infections and Meningitis 693
Peritoneal Dialysis Catheter-Associated Peritonitis 693
Urinary Tract Infection 693
Miscellaneous Infections 693
Antibiotic Treatment 693
Prevention 694
Other Coagulase-Negative Micrococcaceae 694
References 695.e1
117 Classification of Streptococci 695
References 697.e1
118 Streptococcus pyogenes (Group A Streptococcus) 698
Description of Pathogen 698
Microbiology 698
Pathogenesis and Virulence 699
Immunologic Response 699
Suppurative Infections 699
Epidemiology 699
Clinical Manifestations or Clinical Syndromes 700
Laboratory Findings and Diagnosis 701
Treatment 701
Prevention 702
Complications 702
Acute Rheumatic Fever 702
Epidemiology 702
Pathogenesis 703
Clinical Features 703
Major Manifestations 703
Migratory Polyarthritis 703
Carditis 703
Chorea 703
Erythema Marginatum 704
Subcutaneous Nodules 704
Minor Manifestations 704
Recent Streptococcal Infection 704
Differential Diagnosis 704
Treatment 704
Secondary Prevention 704
Prognosis 705
Acute Glomerulonephritis 705
Epidemiology 705
Pathogenesis and Pathology 705
Clinical Features 705
Laboratory Findings 705
Treatment and Prognosis 706
Prevention 706
Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (Pandas) 706
Poststreptococcal Reactive Arthritis 706
References 707.e1
119 Streptococcus agalactiae (Group B Streptococcus) 707
Description Of The Pathogen 707
Microbiology 707
Pathogenesis and Virulence 707
Immunity 708
Epidemiology 708
Clinical Manifestations 708
Early-Onset Infection 708
Late-Onset Infection 708
Late, Late-Onset Infection 709
Laboratory Findings And Diagnosis 709
Treatment 709
Special Considerations 710
Prognosis 710
Recurrent Infection 710
Prevention 710
References 712.e1
120 Enterococcus Species 712
Description Of The Pathogen 713
Epidemiology 713
Clinical Manifestations 713
Neonatal Infections 713
Infections in Older Children 714
Treatment 714
β-Lactam Resistance 714
Aminoglycoside Resistance 715
Vancomycin Resistance 715
Other Antibiotics 715
Treatment Strategies 715
Prevention 715
References 716.e1
121 Viridans Streptococci, Abiotrophia and Granulicatella Species, and Streptococcus bovis 716
Description of the Pathogen 716
Speciation 716
Virulence Properties 717
Epidemiology 717
Clinical Manifestations 717
Endocarditis 717
Bacteremia and Septicemia 717
Other Infections 718
Treatment 718
Prevention 719
References 719.e1
122 Groups C and G Streptococci 719
Description Of The Pathogens 720
Speciation 720
Virulence Properties 720
Epidemiology 720
Clinical Manifestations 720
Therapy 721
References 721.e1
123 Streptococcus pneumoniae 721
Description of the Pathogen 721
Microbiology 721
Pathogenesis and Virulence 721
Immunity 722
Epidemiology 722
Clinical Manifestations 723
Laboratory Findings and Diagnosis 723
Treatment 724
Antimicrobial Susceptibility 724
Antimicrobial Therapy 725
Acute Otitis Media 725
Meningitis 725
Pneumonia 726
Prognosis 726
Prevention 726
Vaccine 726
Passive Immunoprophylaxis 728
Chemoprophylaxis 728
Prevention of Disease in Contacts 728
Acknowledgment 728
References 728.e1
124 Other Gram-Positive, Catalase-Negative Cocci 729
Description Of Pathogens 729
Epidemiology 729
Clinical Manifestations 729
Leuconostoc Species 729
Pediococcus Species 729
Other Genera 729
Therapy 730
References 730.e1
Gram-Negative Cocci 730
125 Neisseria meningitidis 730
Microbiology 730
Virulence and Pathogenesis 731
Immunity 731
Epidemiology 732
Factors Influencing Disease Susceptibility and Severity 733
Susceptibility 733
Severity 733
Transmission and Colonization 733
Outbreaks 734
Clinical Manifestations 734
Diagnosis 736
Metabolic and Hematologic Abnormalities 736
Treatment 736
Antimicrobial Agents 736
Adjunctive Therapy 737
Emergency Management 737
Outcome 737
Mortality 737
Postinfectious Inflammatory Syndromes 738
Sequelae 738
Prevention 738
Management of Contacts 738
Immunization 739
Polysaccharide Vaccines 739
Conjugate Vaccines 740
References 741.e1
126 Neisseria gonorrhoeae 741
Microbiology, Immunology and Pathogenesis 741
Epidemiology 742
Antibiotic Resistance 743
Clinical Manifestations 743
Perinatal Infections 743
Ophthalmia Neonatorum 743
Other Perinatal Infections Including Systemic Infection 744
Mucosal Infections in Children, Adolescents, and Adults 744
Disseminated Gonococcal Infection (DGI) 744
Laboratory Findings and Diagnosis 744
Gram Stain 744
Culture 745
Nonculture Tests 745
Treatment 745
Management Considerations 745
Perinatal Infections 746
Mucosal Infections in Adolescents and Adults 746
Alternative Regimens 747
Disseminated Infection Including Meningitis and Endocarditis in Adolescents and Adults 747
Childhood Infections 747
Special Considerations 747
Prevention and Control 747
Ocular Prophylaxis 747
Partner and Expedited Partner Therapy for STI 748
Screening as Prevention 748
Vaccination 748
References 748.e1
127 Other Neisseria Species 748
Microbiology and Laboratory Diagnosis 748
Epidemiology 749
Clinical Manifestations 749
Neisseria bacilliformis. 749
Neisseria cinerea. 749
Neisseria elongata. 749
Neisseria flavescens. 749
Neisseria lactamica. 750
Neisseria mucosa. 750
Neisseria polysaccharea. 750
Neisseria sicca. 750
Neisseria subflava. 750
Neisseria weaveri. 750
Special Considerations and Prevention 750
References 750.e1
Gram-Positive Bacilli 750
128 Arcanobacterium haemolyticum 750
Epidemiology 750
Microbiology 750
Clinical Manifestations 751
Diagnosis 751
Treatment 751
References 751.e1
129 Bacillus Species (Anthrax) 751
Bacillus Anthracis 752
Bacillus Cereus 753
Bacillus Subtilis and Other Bacillus Species 754
References 754.e1
130 Corynebacterium diphtheriae 754
Etiology 754
Epidemiology 755
Pathogenesis 755
Clinical Manifestations 755
Respiratory Tract Diphtheria 755
Cutaneous Diphtheria 756
Infection at Other Sites 756
Toxic Myocardiopathy 756
Toxic Neuropathy 756
Management 757
Patients 757
Diagnostic Tests 757
Antitoxin 757
Antimicrobial Therapy 757
Other Measures 757
Exposed Persons 758
Asymptomatic Case Contacts 758
Asymptomatic Carriers 758
Prevention 758
Vaccine Preparations 758
Schedules 758
Children from 6 Weeks through 6 Years of Age 758
Persons 7 Years of Age or Older 758
Children in Whom Pertussis Immunization is Contraindicated 759
Acknowledgment 759
References 759.e1
131 Other Corynebacteria 759
Corynebacterium Jeikeium 762
Other Corynebacterium Species 762
References 762.e1
132 Listeria monocytogenes 762
Description of the Pathogen 762
Epidemiology 763
Pathogenesis 763
Immunity 764
Clinical Syndromes 764
Infection in Pregnancy 764
Neonatal Infection 764
Bacteremia 765
Central Nervous System Infection 765
Meningitis 765
Brainstem Encephalitis (Rhombencephalitis) 765
Brain Abscess 765
Endocarditis 765
Localized Infection 765
Febrile Gastroenteritis 765
Diagnosis 766
Treatment 766
Prevention 766
References 767.e1
133 Other Gram-Positive Bacilli 767
Erysipelothrix Rhusiopathiae 767
Microbiology 767
Epidemiology 767
Clinical Manifestations 767
Diagnosis 768
IV Laboratory Diagnosis and Therapy of Infectious Diseases 1373
A The Clinician and the Laboratory 1373
286 Laboratory Diagnosis of Infection Due to Bacteria, Fungi, Parasites, and Rickettsiae 1373
Bacteria 1373
Collection and Processing of Clinical Specimens 1373
Specimen-Specific Isolation Methods 1373
Blood 1373
Specimen collection. 1373
Media. 1374
Incubation. 1374
Special pathogens and situations. 1374
Urine 1376
Cerebrospinal Fluid 1376
Specimen collection and processing. 1376
Respiratory Tract 1377
Specimen collection. 1377
Rapid tests for Gas. 1377
Special specimens. 1377
Burkholderia cepacia. 1377
Bordetella species. 1377
Synovial and Peritoneal Fluid 1377
Special Pathogens 1378
Clostridium difficile 1378
Antimicrobial Susceptibility Testing 1378
Standard Media and Test Conditions 1378
Susceptibility Test Methods 1378
Pathogen- and Mechanism-Specific Testing 1380
Staphylococcus aureus. 1380
S. pneumoniae. 1380
Extended-spectrum β-lactamase and carbapenemase. 1380
β-Lactamase. 1381
Enterococci. 1381
Fastitious bacteria. 1381
Mycobacteria. 1381
Antigen Detection Assays 1381
Fungi 1381
Collection and Processing of Clinical Specimens 1381
Isolation and Identification 1382
Culture 1382
Antigen Detection 1382
Antifungal Susceptibility Testing 1382
Parasites 1382
Examination of Feces 1382
Collection and Preservation 1382
Examination 1383
Special Pathogens 1383
Detection of Gastric-Duodenal Pathogens 1383
Helicobacter pylori. 1383
Parasites and protozoa. 1383
Tissue Specimens 1383
Blood Smears 1384
Rickettsiae 1384
Immunoserology 1384
Newer Technologies 1384
References 1384.e1
287 Laboratory Diagnosis of Infection Due to Viruses, Chlamydia, Chlamydophila, and Mycoplasma 1384
Viruses 1384
Specimen Collection and Transport 1385
Virus Detection Methods 1385
Virus Isolation 1385
Antigen Detection 1386
Electron Microscopy 1386
Nucleic Acid Detection 1386
Choice of Virus Detection Method 1387
Serologic Methods 1387
Optimal Tests for Specific Viruses 1388
Herpes Simplex Virus 1388
Cytomegalovirus 1388
Epstein–Barr Virus 1393
Varicella-Zoster Virus 1393
Human Herpesvirus Types 6, 7, and 8 1393
Respiratory Syncytial Virus 1394
Influenza Viruses 1394
Other Respiratory Viruses 1394
Hepatitis Viruses 1394
Gastroenteritis Viruses 1395
Enteroviruses 1395
Measles, Mumps, and Rubella (Mmr) 1395
Human Immunodeficiency Virus 1396
Arboviruses 1397
Parvovirus B19 1397
Other Viruses 1397
Congenital and Perinatal Viral Infections 1397
Chlamydia and Chlamydophila 1398
Chlamydia trachomatis 1398
Specimen Collection and Transport 1398
Laboratory Test Methods 1398
Comparison of Methods 1399
Chlamydophila pneumoniae 1399
Mycoplasma 1399
Mycoplasma pneumoniae 1399
Genital Mycoplasmas 1399
References 1399.e1
288 Laboratory Manifestations of Infectious Diseases 1400
Acute-Phase Response 1400
Erythrocyte Sedimentation Rate 1400
Physiology and Measurement 1400
Elevated Sedimentation Rate 1400
Extreme Elevation of the Sedimentation Rate 1402
Low Erythrocyte Sedimentation Rate 1402
C-Reactive Protein 1402
Subject Index 1547
A 1547
B 1560
C 1569
D 1589
E 1593
F 1602
G 1606
H 1610
I 1625
J 1632
K 1633
L 1634
M 1640
N 1650
O 1657
P 1660
Q 1675
R 1675
S 1681
T 1696
U 1703
V 1705
W 1710
X 1711
Y 1711
Z 1711