What is wrong with these kids? (Mystery Diagnosis) - page 2

My area has recently seen 3 children at 2 separate facilities present with eerily similar and so far undiagnosed problems. Similar age group, but nothing else in common (different locations,... Read More

  1. Visit  LadyFree28 profile page
    1
    ^Very interesting! Sometimes the below the radar illnesses can be frustrating to investigate.
    anotherone likes this.
  2. Visit  Esme12 profile page
    2
    Have they thought about Parvo 19 (fifth's disease) encephalitis...rare but present the same. You didn't mentions rash.....but the rash may not be visible.....
    anotherone and tewdles like this.
  3. Visit  FlyingScot profile page
    3
    Botulism comes to my mind as well.
    anotherone, Esme12, and marycarney like this.
  4. Visit  marycarney profile page
    2
    ^^ ditto ^^ botulism maybe???

    I'm hoping these kids recover so PLEASE do not take my next comment the wrong way, but I enjoy the mental / clinical challenge of cases like this. They really stretch you as a nurse, and seem to draw things out of your memory banks that you hadn't thought of in years.
    Esme12 and RunnerRN2015 like this.
  5. Visit  Esme12 profile page
    2
    None taken I agree....I love to rack my brain for answers.
    RunnerRN2015 and tewdles like this.
  6. Visit  SpEdtacular profile page
    0
    What about something like Reye's Syndrome?
  7. Visit  Ashley, PICU RN profile page
    2
    Thank you all for your insight. I'm definitely going to bring up several of these suggestions on my next shift.

    No real update yet. The third patient to present was intubated only a few days after admission, following the pattern of the previous patients. IVIG has been initiated on at least two of the patients that I know of with no change in clinical status. We've also learned of a fourth child with the same symptoms at a hospital about 20 miles away.

    Of possible significance is that all patients so far have been male between the ages of 10 and 13.
    Esme12 and marycarney like this.
  8. Visit  marycarney profile page
    4
    Hmmmm........

    The demographic angle is interesting. I wonder how this plays in? Is there some new 'fad' among this group - food/ game/ dress/ ?
    Esme12, anotherone, umcRN, and 1 other like this.
  9. Visit  NotReady4PrimeTime profile page
    2
    Reye's syndrome would show up in the labs... abnormal liver enzymes. As marycarney says, the demographic is another pice of the puzzle. I'm assuming these kids have all had tox screens done as part of their admission work-ups. Very curious.
    Esme12 and tewdles like this.
  10. Visit  sammygirl5 profile page
    0
    First thing that came to mind was Guillain Barre Syndrome but you said no ascending paralysis. Agree with those who said encephalitis especially the anti-NMDA receptor encephalitis and/or herpes viral encephalitis. Another thought - you said these were all boys, ages 10-13 living within 10 miles of eachother. Could they go to the same school? That's about middle school age. Maybe something in the cafeteria? Lead poisoning? Some cross contamination with anti-pest substances (rat poison, etc.)?
  11. Visit  FranEMTnurse profile page
    1
    Name:  887221_10151561620817164_971172779_o.jpg
Views: 630
Size:  107.1 KBA lot of mysterious diseases are popping up from over use of antibiotics. This is a photo of my niece. She has had cancer twice, (notice her arm) This is from the removal of a cancerous tumor located in her arm pit. Her throat is still very sore, and she has had numorous tumors removed from her body. None of us know where this disease came from. My brother and sister-in-law were both genetically tested and were negative for the neurofiborblastosis that ravages her body. She just turned 16.
    Esme12 likes this.
  12. Visit  GrnTea profile page
    1
    Rabies? Any contact with animals (field trip? pets, are they vaccinated? any pets in fights with unknown other animals (infected saliva on fur even if pet is vaccinated)? anyone find a bunny/dead mice/squirrels/bat/raccoon in the yard??) should be followed up.

    Sports teams? Did these kids all play on the same field? Drink out of the same water fountain?

    Try the same magic pill-- you know how boys are-- parkinsonian symptoms? This sort of thing swept through the local addict population a few years back around here, turned out to be a contaminant in a recreational drug that fried the basal ganglia (permanently).

    Bulbar paralysis is classic for polio-- immunizations recently?
    Last edit by GrnTea on Apr 3, '13
    Esme12 likes this.
  13. Visit  R. Obias Jr., R.N. profile page
    0
    we have similar cases but more fatal ones such as the meningococcemia, or check all meningococcal diseases.....


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