Chiotos | Pediatrics Blogs

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<meta http-equiv="Content-Type" content="text/html; charset=utf-8"/><title> Chiotos | Pediatrics Blogs </title>  <meta name="google-site-verification" content="TCYGZWR7Qscjc3GO_imiutAfXMSCFLpchm8rXzIk-5M"/><meta name="msvalidate.01" content="AB0F11E889D663098DB556BB5ACBB719"/><meta id="metaDescription" name="description" content="Pediatrics Blogs | Katie Chiotos, MD, is currently a fellow in the Division of Infectious Diseases at the Children's Hospital of Philadelphia and will be completing a dual fellowship in both pediatric infectious diseases and critical care medicine. &nbsp;She studied biology and art history at the College of William and Mary, Williamsburg, Va., and went on to graduate with a medical degree from &nbsp;George "/><meta id="metaKeywords" name="keywords" content="Pediatrics Blogs,Pediatrics,ADD/ADHD,Adolescent Medicine,Allergy/Asthma/Immunology,Autism Spectrum Disorders,Neonatal Medicine,Community Health,Dermatology,Developmental/Behavioral Medicine,Emerging 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<span>›</span> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs"> Blogs</a> </p>   <div class="blog-content">  <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md">Kestenbaum</a> </li> <li> <a class="current" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos">Chiotos</a> </li> <li> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/king-seegar-md">Seegar</a> </li> <li> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/stephen-thacker-md">Thacker</a> </li> <li> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/edward-bell">Bell</a> </li> <li> <a href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/federico-laham-md-ms">Laham</a> </li> </ul>  <div class="blog-panes"> <div class="eviblog-header"> <a id="layout_0_maincontent_0_blogcontent_0_HyperlinkBlog" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos">Chiotos</a> </div> <div>  <ul class="blog-bio"> <li class="img"> <img src="/web/20130831200549im_/http://www.healio.com/~/media/Images/Blog Authors/Pediatrics/Chiotos_Katie.jpg" alt="" width="70" height="90"/></li> <li> <strong>Katie Chiotos, MD</strong>, is currently a fellow in the Division of Infectious Diseases at the Children's Hospital of Philadelphia and will be completing a dual fellowship in both pediatric infectious diseases and critical care medicine.  She studied biology and art history at the College of William and Mary, Williamsburg, Va., and went on to graduate with a medical degree from  George Washington University, Washington, DC.  Chiotos completed her residency training in pediatrics at the Children's Hospital of Philadelphia.  Her research interests include management of sepsis and septic shock, as well as quality improvement. Disclosure: Chiotos reports no relevant financial disclosures.</li> </ul>  <div class="blog-post"> <p class="meta-info"> Friday, July 19, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_0" class="postTitle" href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/not-what-it-seems">Not What It Seems</a> </h2> <p class="meta-info"> Katie Chiotos, MD </p> <div class="blog-intro"> <p style="margin: 5pt 0in;">This is the story of a typical teenage boy with pneumonia that turned out to be anything but typical. He presented to our emergency department with a five-day history of malaise and a three-day history of cough, fever, and progressively worsening shortness of breath. His initial vital signs were a temperature of 38.7° C, with a heart rate of 110, blood pressure of 109/77 and an oxygen saturation of 90% on room air. </p> <p style="margin: 5pt 0in;">On physical exam the patient exhibited increased work of breathing with scattered wheezing and crackles throughout both lung fields. Tests revealed that his initial white blood cell count was 22,000 with 79% neutrophils, 10% eosinophils, 6% lymphocytes, and 5% monocytes, hemoglobin of 15 and platelets of 339. Electrolytes and liver function tests were normal. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_0" href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/not-what-it-seems">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, May 21, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_1" class="postTitle" href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/legislating-lyme">Legislating Lyme</a> </h2> <p class="meta-info"> Katie Chiotos, MD </p> <div class="blog-intro"> <p style="margin: 0in 0in 10pt;">I never considered how much living in a Lyme endemic area would influence my training as an infectious diseases fellow; in fact, I didn’t really think much about Lyme disease at all until I began getting phone call after phone call from parents and pediatricians confused about the diagnosis and treatment of Lyme disease. </p> <p style="margin: 0in 0in 10pt;">The stories often start off the same: a child with non-specific constitutional symptoms, perhaps some fevers, a vague history of a rash, sometimes headaches or diffuse joint pain who just doesn’t seem like he’s getting better. Perhaps there was even an antecedent tick bite, or at the very least, a camping trip or another kid at school with Lyme disease. So, Lyme serologies are sent and whether they are positive or negative, the caller – parent or physician – is uncertain how to proceed.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_1" href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/legislating-lyme">Read more...</a> </div> </div>   <div class="eviblog-footer"> Powered by EviBlog</div> </div> </div> </div> </div> </div>    <div id="sidebar">  <div class="sidebar-box meta-box"> <div id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_PanelCategories"> <ul class="categories"> <li class="header"> <h6> Category </h6> </li> <li> <a id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_ListViewCategories_hyperlinkCategory_0" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/categories/emerging-diseases">Emerging Diseases</a> </li> </ul> </div> <div id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_2_PanelTagCloud"> <ul class="tags"> <li class="header"> <h6> Tag Cloud </h6> </li> <li> <a class="weight1" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos?tag=Respiratory+infections">Respiratory infections</a> <a class="weight1" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos?tag=Lyme+disease">Lyme disease</a> <a class="weight1" href="/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos?tag=emerging+diseasea">emerging diseasea</a> </li> </ul> </div> <ul class="archives"> <li class="header"> <h6> Archives</h6> </li> <li><a onclick="ToggleVisibility("month-2013")" class="year">2013</a></li><ul id="month-2013" class="month"><li><a onclick="ToggleVisibility("entries-20135")" class="month">May (1)</a><ul id="entries-20135" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/legislating-lyme">Legislating Lyme</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20137")" class="month">July (1)</a><ul id="entries-20137" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20130831200549/http://www.healio.com/pediatrics/blogs/katie-chiotos/not-what-it-seems">Not What It Seems</a></li></ul></li></ul> </ul> </div>  <div class="sidebar-ad-box">  <div id="div-gpt-ad-1369169134306-3"> <script type="text/javascript"> googletag.cmd.push(function() { googletag.display('div-gpt-ad-1369169134306-3'); 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