Kestenbaum | Pediatrics Blogs

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Blogs</a> </p>   <div class="blog-content">  <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a class="current" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md">Kestenbaum</a> </li> <li> <a href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/katie-chiotos">Chiotos</a> </li> <li> <a href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/king-seegar-md">Seegar</a> </li> <li> <a href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/stephen-thacker-md">Thacker</a> </li> <li> <a href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/edward-bell">Bell</a> </li> <li> <a href="/web/20130822232509/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/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md">Kestenbaum</a> </div> <div>  <ul class="blog-bio"> <li class="img"> <img src="/web/20130822232509im_/http://www.healio.com/~/media/Images/Blog Authors/Pediatrics/Kestenbaum_Lori.jpg" alt="Lori Kestenbaum" width="69" height="91"/></li> <li> <b>Lori Kestenbaum, MD</b> is a first-year fellow in Pediatric Infectious Diseases at The Children’s Hospital of Philadelphia. She graduated with a BS in Psychology from Duke University and received her MD from the Perelman School of Medicine at the University of Pennsylvania. She completed her residency in Pediatrics at The Children’s Hospital of Philadelphia in 2012.  She is currently a member of the American Academy of Pediatrics, the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.</li> </ul>  <div class="blog-post"> <p class="meta-info"> Wednesday, August 7, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_0" class="postTitle" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/a-good-history-is-integral-to-practicing-good-medicine">A good history is integral to practicing good medicine</a> </h2> <p class="meta-info"> Lori Kestenbaum, MD </p> <div class="blog-intro"> <p class="BodyCxSpFirst">In the United States, a case of tuberculosis in a young child is a rarity – so rare that while the majority of the world vaccinates its children against more severe forms of tuberculosis with Bacillus Calmette-Guérin (BCG) vaccine, experts in the US have weighed the risks and benefits of this vaccine and determined this should not be on our recommended schedule. However, there are rare circumstances when we should remember that we have the BCG vaccine, and it may yet find clinical utility. </p> <p class="BodyCxSpFirst">This past winter, a 6-month-old presented with seizures and stroke and was found to have tuberculosis meningitis. Her mother had been born in Vietnam, had lived in the US for a time, but had traveled back to Vietnam prior to pregnancy and traveled through the country while pregnant. Upon return, her mother received routine prenatal care, delivered the infant and then proceeded to exhibit a cough for which she received various antibiotics. Eventually, the mother received a chest radiograph when the infant was 5 months old. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_0" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/a-good-history-is-integral-to-practicing-good-medicine">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Thursday, June 13, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_1" class="postTitle" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/first-do-no-harm">First, Do No Harm</a> </h2> <p class="meta-info"> Lori Kestenbaum, MD </p> <div class="blog-intro"> <p>As a first year infectious diseases fellow, I am frequently challenged to give a child an infectious disease diagnosis prior to proposing starting antibiotics. It brings me back to medical school, when we were taught to name the diseases, then the bugs that can cause that disease, then the drugs that can treat those bugs. I went into ID because of how neatly that thought process can be carried out, even in the most complicated patients. </p> <p class="BodyCxSpMiddle">However, every once in a while, that thought process breaks down, and our patients suffer. I consulted on a child this year with toxic epidermal necrolysis (TEN), which is a severe, often fatal, adverse cutaneous drug reaction that predominantly involves the skin and mucous membranes. She had had a few illnesses in a 3-month period which prompted a flurry of doctors’ visits, including multiple visits to the pediatrician, one visit to seek out a second opinion and one visit to an infectious diseases consultant.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_1" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/first-do-no-harm">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, April 17, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_2" class="postTitle" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/vaccine-preventable-diseases-in-the-vaccine-era">Vaccine-preventable diseases in the 'vaccine era'</a> </h2> <p class="meta-info"> Lori Kestenbaum, MD </p> <div class="blog-intro"> As a first-year infectious diseases fellow, I have been charged with the task of knowing how to diagnose and treat vaccine-preventable diseases, although I rarely see them myself. Whereas my attendings used to see bacterial meningitis on a weekly basis, I saw only one case as a resident. Over this year, I have consulted on children with <i>Haemophilus influenzae</i> type b meningitis, meningococcemia, and varicella zoster meningitis. These cases are presented at case conferences where each young physician listens attentively, fascinated by the case, and remarks, “I’ve only read about that!” We have been fortunate enough to see each of these children recover, and we are briefly reminded how effectively vaccines prevent disease. </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_2" href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/vaccine-preventable-diseases-in-the-vaccine-era">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/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/categories/antibiotic-resistance">Antibiotic resistance</a> </li> <li> <a id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_ListViewCategories_hyperlinkCategory_1" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/categories/dermatology">Dermatology</a> </li> <li> <a id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_ListViewCategories_hyperlinkCategory_2" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/categories/influenza">Influenza</a> </li> <li> <a id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_ListViewCategories_hyperlinkCategory_3" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/categories/vaccine-preventable-diseases">Vaccine preventable 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/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md?tag=tuberculosis">tuberculosis</a> <a class="weight1" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md?tag=influenza">influenza</a> <a class="weight1" href="/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md?tag=vaccine-preventable+diseases">vaccine-preventable diseases</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-20134")" class="month">April (1)</a><ul id="entries-20134" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/vaccine-preventable-diseases-in-the-vaccine-era">Vaccine-preventable diseases in the 'vaccine era'</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20136")" class="month">June (1)</a><ul id="entries-20136" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/first-do-no-harm">First, Do No Harm</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20138")" class="month">August (1)</a><ul id="entries-20138" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20130822232509/http://www.healio.com/pediatrics/blogs/lori-kestenbaum-md/a-good-history-is-integral-to-practicing-good-medicine">A good history is integral to practicing good medicine</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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