obscured because these terms a r e often used interchangeably. A l l cases of PC and OC with a positive blood,tissue a s p i r a t e , o r abscess culture seen a t Children's o r Eye and Ear Hospital i n the past 10years were analyzed. Results (including median age): TOTAL H.influenzae B(H1B) S.pneumoniae(SP) Other bacteria -PC 61 57% (15 mos) 18% (12 mos) 25% (6 y r s ) OC 10 0% 0% 100% (11 yrs) PC caused by HIB and SP, characterized by bacteremia, fever and p e r i o r b i t a l swelling, discoloration, induration and pain, is a d i s t i n c t clinicalentityoccurringinyoung chi1dren;sinus radiographs frequently demonstrated "cloudy" sinuses,but interpretation of the radiographswas complicated by the small sizeand i n d i s t i n c t bonymarginsof thesinuses o f i n f a n t s , andby concurrent upper respiratory infection and overlying s o f t t i s s u e swelling. Ophthalmoplegia and proptosis, never present i n cases of PC, always accompanied OCas did radiographic evidence of s i n u s i t i s . OC due t o HIBhasnot been documented i n t h i s study or i n the l i t e r a t u r e . PS secondary t o s i n u s i t i s i s characterized by non-tender, noninduratededema due t o venous congestion, not b a c t e r i a l c e l l u l itis. Careful d i f f e r e n t i a t i o n of PC,OC and PS secondary t o sinus i t i s is necessary f o r the selection of appropriate therapy. Familial Mediterranean fever (FMF) i s characterized by periodic attacks of fever and s e r o s i t i s , particularly p e r i t o n i t i s and synovitis. The disease i s transmitted by an autosomal recessive gene and primarily a f f e c t s Sephardic Jews, Arabs, Turks and Armenians. Duing the period [1970][1971][1972][1973][1974][1975][1976][1977][1978][1979] we observed seven children with FMF who developed HenochShoenlein purpura (HSP). During t h i s period 0.16% of 2140 pediatric admissions per year were due t o HSP. From a pediatric FMF population of 70 patients an average of 23 (33%) were admitted annually and one (4.3%) had HSP each year. Pertinent c l i n i c a l features a t t h e time of HSP -age range 3-13 years (mean 7 years) males: fernales 5:2. All patients had non thrombocytopenic purpura, a r t h r i t i s or arthlagia and fever. Five patients (70%) had diffuse abdominal pain and two boys had t e s t i c u l a r pain and swelling. Four patients (56%) had hematuria and one protei nuria, only. The erythrocyte sedimentation r a t e ranged from 50-150 mn/hr (mean 88) and fibrinogen 208-660 mg/dl (mean 373 mg/dl). The duration of hospitalization ranged from 13-150 days (mean 51 days). The association of FMF and HSP, two diseases of unknown etiology may provide new avenues of study in these diseases.PULMONARY PARAGONIMIASIS I N INDOCHINESE REFUGEE CHIL-691 DREN. 5.T. Shulman, R. Yogev, K. Burton and K . Boyer (spon. by Henry Nadler). Children's Memorial Hosp., Northwestern Univ., and Michael Reese Hosp., Chicago.The high prevalence of tuberculosis i n recent Indochinese refugees of a l l ages i s well documented, with 100-fold grea...
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