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- W2800742021 abstract "1. Megan Ference, MD*2. Emily Paprocki, DO*3. Jennifer Boyd, DO*4. David F. Butler, MD*5. Denise Bratcher, DO† 1. *Department of Pediatrics, Children’s Mercy Hospital, Kansas City, MO2. †Department of Pediatrics, Division of Infectious Diseases, Children’s Mercy Hospital, Kansas City, MOA previously healthy, unimmunized 5-year-old boy is found to have apnea, muscle rigidity, and trismus when paramedics arrive at his home. He has severe arching of his back, with only his head and buttocks touching the gurney. Symptoms began with an intermittent dry cough and worsening dysphagia 2 days ago. He has no history of fevers, vomiting, diarrhea, or headache. His family denies any recent medication exposures, wounds, or direct contact with animals or insects. He is intubated for respiratory failure but continues to have episodes of jaw clenching associated with bradycardia and desaturations. He is admitted to the PICU for further evaluation and management.On admission, he continues to have episodes of muscle spasm and spinal rigidity despite increasing dosing of continuous dexmedetomidine, fentanyl, and midazolam. The initial examination reveals a normal electrolyte panel, blood calcium level, C-reactive protein level, complete blood cell count, and head computed tomographic scan. His cerebrospinal fluid shows a white blood cell count of 2/μL (<.01×109/L), a glucose …" @default.
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- W2800742021 date "2018-05-01" @default.
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- W2800742021 title "Case 4: Muscle Rigidity in a 5-year-old Boy" @default.
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- W2800742021 doi "https://doi.org/10.1542/pir.2017-0052" @default.
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