Nontuberculous mycobacteria in children with acquired immunodeficiency syndrome: Hoyt L, Oleske J, Holland B, et al. Pediatr Infect Dis J 11:354–360 May 1992
✍ Scribed by Moss Mendelson
- Publisher
- Elsevier Science
- Year
- 1993
- Tongue
- English
- Weight
- 125 KB
- Volume
- 22
- Category
- Article
- ISSN
- 1097-6760
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✦ Synopsis
Pediatric patients suspected of intussusception currently undergo barium enema for evaluation and treatment. Early symptoms frequently are difficult to distinguish from other, benign abdominal conditions. To investigate the value of ultrasound as a screening tool in intussusception, 65 consecutive patients unde~ent ultrasound evaluation prior to barium enema. Patients were further divided into high-risk and low-risk groups. Patients in the high-risk group had the classic triad of intussusception symptoms: colicky abdominal pain, vomiting, and blood in stools. Low-risk patients had less typical abdominal pain. Of the 65 ultrasounds completed, 20 were truepositive, 42 were true-negative, and three (5%) had false-positive results. No patient with intussusception was missed by ultrasound. In the high-risk group, 81% (13 of 16) had intussusception compared with 14% (13 of 66) of the low-risk patients. The authors concluded that with a negative predictive value of 100% ultrasound is a sensitive screening test in the diagnosis of intussusception in low-risk patients. In the high-risk child with the classic triad of symptoms, barium enema should remain the initial test.