Principles and Practice of Pediatric Infectious Diseases This page intentionally left blank Principles and Practice of Pediatric Infectious Diseases FOURTH EDITION Editor Sarah S. Long, MD Professor of Pediatrics Drexel University College of Medicine Chief, Section of Infectious Diseases St. Christopher’s Hospital for Children Philadelphia, PA, USA Associate Editors Larry K. Pickering, MD Senior Advisor to the Director National Center for Immunization and Respiratory Diseases Executive Secretary Advisory Committee on Immunization Practices Centers for Disease Control and Prevention Professor of Pediatrics, Emory University School of Medicine Atlanta, GA, USA Charles G. Prober, MD Professor of Pediatrics, Microbiology and Immunology Senior Associate Dean, Medical Education Stanford School of Medicine Stanford, CA, USA For additional online content visit expertconsult.com Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto © 2012, Elsevier Inc. All rights reserved. First edition 1997, Churchill Livingstone Second edition 2003, Churchill Livingstone, an imprint of Elsevier Science Third edition 2008, Churchill Livingstone No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Chapters 1, 3, 6, 52, 54, 57, 58, 61, 91, 113, 158, 159, 169, 170, 174, 175, 178, 179, 213, 214, 215, 216, 217, 218, 219, 220, 229, 237, 239, 240, 241, 265, 271, 274, 278, 279, 281, 283 and 284 are in the public domain and may be used and reprinted without special permission; citation of the source, however, is appreciated. Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Cover figure: Transmission electron micrograph of parainfluenza virus British Library Cataloguing in Publication Data Principles and practice of pediatric infectious diseases. – 4th ed. 1. Communicable diseases in children. I. Long, Sarah S. II. Pickering, Larry K. III. Prober, Charles G., 1949– 618.9’29-dc22 ISBN-13: 9781437727029 E-book ISBN: 9781437720594 Content Strategist: Belinda Kuhn Content Development Specialist: Rachael Harrison Content Coordinators: Alexandra Jones & Trinity Hutton Project Managers: Joannah Duncan & Lucy Boon Design: Charles Gray Illustration Manager: Bruce Hogarth Illustrator: Graeme Chambers Working together to grow Marketing Managers (UK/USA): Gaynor Jones & Carla Holloway libraries in developing countries www.elsevier.com | www.bookaid.org | www.sabre.org Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Preface The field of infectious diseases is ever changing – with emerging Part II. Clinical Syndromes and Cardinal Features of Infec- pathogens, globalization, escalating antimicrobial resistance, tious Diseases: Approach to Diagnosis and Initial Management: novel diagnostic methods, expanding therapeutic options, and new content on conditions that mimic infectious diseases (such continuous development of vaccines and strategies for implemen- as hemophagocytic lymphohistiocytosis and macrophage activa- tation. The landscape is increasingly complex – with deepening tion syndrome); developmental stages of innate and adaptive recognition of the role of infectious agents and the host in a immunity; mechanisms, clinical manifestations, and management damage–response framework of disease. strategies for systemic inflammatory response syndrome; recogniz- Our goal is to provide a comprehensive, reliable, up-to-date ing and managing infections and risks due to congenital or reference focused on evidence-based, practical information that is acquired immunocompromising conditions in uniquely sus- required to care for neonates, infants, children, and adolescents ceptible hosts; expanded content on central nervous system with any infectious disease. Entries always address the four imper- infectious and parainfectious conditions; new morbidities and atives of pediatric infectious diseases: understand the problem, evidence-based approaches to preventing healthcare-associated diagnose the etiology, manage the patient to optimize outcome, infections. and prevent a recurrence or first occurrence. The scope also Part III. Etiologic Agents of Infectious Diseases: significant includes epidemiology, control, and prevention of infectious dis- new entries related to antimicrobial resistance and therapies for eases with guidance for establishing policy as well as managing bacterial infections, especially infections due to staphylococci, individual patients. Features permeating the fourth edition include enterococci, pneumococci, gonococci, mycobacteria, and gram- web-based resources, important contact information, and elec- negative bacilli; recently discovered viruses, new antiviral thera- tronic links to primary literature to aid easy access to expanded, pies, and new vaccines; evidence and guidance where evidence is current information as well as to obtain restricted therapeutic incomplete for treatment of fungal infections; comprehensive and agents or access to experts for management of rare diseases. New latest guidance for management of protozoal infections, including tables, figures, illustrated cases, scan- and slide-ready graphics and toxoplasmosis and malaria. algorithms, and “Key Points” boxes of concise summaries have Part IV. Laboratory Diagnosis and Therapy of Infectious Dis- been added. New patient images and radiologic images have been eases: through the burgeoning world of molecular diagnostics, the added. best tests for laboratory identification of infectious agents; differen- We have engaged subject-specific experts as authors and have tiating features of commonly used laboratory tests to measure the edited all chapters to reflect a prescribed, predictable, and focused inflammatory response and predict the cause; new insights into format that will reward the reader with answers to “What principles of use of anti-infective therapies; expanded primer on the should I do next?” With a substantial number of authors from the pharmacodynamic basis of optimal use of antimicrobial agents; Centers for Disease Control and Prevention, the American mechanisms and best laboratory techniques to detect newly emerg- Academy of Pediatrics’ Committee on Infectious Diseases and ing antimicrobial resistance; new antimicrobial agents for treating the Section on Infectious Diseases, the Pediatric Infectious Dis- bacterial, fungal, viral, and parasitic infections. eases Society and infection prevention advisory groups, we have The primary audience for our textbook is the subspecialist in attempted to present consistent recommendations and to build infectious diseases who provides care for or advises on policy a compendium of best practices. Examples of new content are regarding infants, children, and adolescents. We hope that our highlighted here, within the context of the four major sections book also will serve as a daily “consultant” for pediatricians and of the book. family physicians and a valuable resource for surgeons, clinical Part I. Understanding, Controlling, and Preventing Infectious microbiologists, experts in infection control, health policy makers, Diseases: expanded primer in biostatistics; expanded use of and other health professionals who care for children. immunoglobulin products; latest vaccines, schedule of immuniza- tions, adverse event reporting; listings of resources in electronic, telephone, and paper media; newest recommendations for infec- tion prevention for hospitals and offices; special considerations Sarah S. Long for children who have out-of-home care, are exposed to pets and Larry K. Pickering exotic animals, are traveling, or are immigrating. Charles G. Prober v Dedication and Acknowledgments With our families and other loved ones, whose patience and endurance are our inspiration, We share the achievement of this book To our mentors and colleagues, who share knowledge and stimulate learning, We give credit for the book’s value To those who practice medicine as an art based on science, and for the children whom they will serve, We offer the book’s lessons To Bill and Melinda Gates for their unprecedented contributions to child health through eradication of infectious diseases worldwide We dedicate this book With special contributions by James H. Brien, DO, Department of Pediatrics, Texas A & M University College of Medicine, Scott & White Memorial Hospital, Temple, Texas; and Eric N. Faerber, MD, Department of Radiology, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, Pennsylvania. vi Contributors Elisabeth E. Adderson, MD Margot Anderson, MD Daniel G. Bausch, MD, MPH&TM Associate Professor of Pediatrics and Fellow, Section of Pediatric Infectious Associate Professor, Department of Molecular Sciences, University of Diseases, Department of Pediatrics, Tropical Medicine, Tulane School of Tennessee Health Sciences Center; Tulane University Medical Center, Public Health and Tropical Medicine; Associate Member, Department of New Orleans, Louisiana Clinical Associate Professor, Department Infectious Diseases, St. Jude Children’s Filoviruses and Arenaviruses of Internal Medicine, Section of Adult Research Hospital, Memphis, Tennessee Infectious Diseases, Tulane University Paul M. Arguin, MD Infectious Complications of Antibody Medical Center, New Orleans, Louisiana Domestic Unit Chief, Malaria Branch, Deficiency Filoviruses and Arenaviruses Division of Parasitic Diseases and Aarti Agarwal, MD Malaria, Center for Global Health, Kirsten Bechtel, MD Epidemic Intelligence Service Officer, Centers for Disease Control and Associate Professor of Pediatrics Malaria Branch, Division of Parasitic Prevention, Atlanta, Georgia (Emergency Medicine), Yale University Diseases and Malaria, Center for Global Plasmodium Species (Malaria) School of Medicine, New Haven, Health, Centers for Disease Control and Connecticut John C. Arnold, MD Prevention, Atlanta, Georgia Infectious Diseases in Child Abuse Staff, Pediatrics and Infectious Diseases, Plasmodium Species (Malaria) Department of Pediatrics, Naval Medical Daniel K. Benjamin, Jr, MD, PhD Grace M. Aldrovandi, MD, CM Center, San Diego, California Professor of Pediatrics, Duke University Professor of Pediatrics, Pathology, Pharyngitis; Streptococcus pyogenes School of Medicine; Faculty Associate Molecular Microbiology & Immunology, (Group A Streptococcus) Director, Duke Clinical Research Institute, Departments of Pediatrics and Pathology, Durham, North Carolina Ann M. Arvin, MD Keck School of Medicine, Saban Research Necrotizing Enterocolitis; Clinical Approach Lucile Packard Professor of Pediatrics, Institute, University of Southern to the Infected Neonate Professor of Microbiology and California, Los Angeles, California Immunology, Stanford School of Frank E. Berkowitz, MBBCh, MPH Immunopathogenesis of HIV-1 Infection Medicine; Chief, Division of Infectious Professor of Pediatrics, Emory University Upton D. Allen, MBBS, MSc, FRCPC, Diseases, Lucile Packard Children’s School of Medicine, Atlanta, Georgia FRCP (UK) Hospital, Stanford, California Balantidium coli; Blastocystis Species; Professor of Pediatrics, Senior Associate Varicella-Zoster Virus Endolimax nana; Leishmania Species Scientist, Research Institute; Chief, (Leishmaniasis); Sarcocystis Species; Shai Ashkenazi, MD, MSc Division of Infectious Diseases, Trypanosoma Species (Trypanosomiasis) The Pickel Chair for Pediatric Research, Department of Pediatrics, Hospital for Professor of Pediatrics, Sackler Faculty of Margaret J. Blythe, MD Sick Children, University of Toronto, Medicine, Tel Aviv, Israel; Chairman, Professor of Pediatrics, Adjunct Professor Ontario, Canada Pediatrics, Schneider Children’s Medical of Gynecology, Indiana University School Adenoviruses Center, Petach Tikva, Israel of Medicine; Medical Director of the Teen Manuel R. Amieva, MD, PhD Plesiomonas shigelloides; Shigella Species Care and Wellness Program, Wishard Assistant Professor of Pediatrics, Hospital Health Care Services, Carol J. Baker, MD Microbiology & Immunology, Stanford Indianapolis, Indiana Professor of Pediatrics, Molecular University School of Medicine; Attending Sexually Transmitted Infection Syndromes Virology and Microbiology, Baylor Physician, Division of Infectious Diseases, College of Medicine; Attending Physician, Joseph A. Bocchini, Jr, MD Lucile Packard Children’s Hospital, Infectious Diseases, Texas Children’s Professor, Chairman, Department of Stanford, California Hospital; Medical Director of Infection Pediatrics, Louisiana State University Campylobacter jejuni and Control, Woman’s Hospital of Texas, Health Science Center–Shreveport; Campylobacter coli; Other Campylobacter Houston, Texas Medical Director, Children’s Hospital, Species Bacterial Infections in the Neonate; Shreveport, Louisiana Krow Ampofo, MB, ChB Streptococcus agalactiae (Group B Infections Related to Pets and Exotic Animals Associate Professor, Department of Streptococcus) Michael Boeckh, MD Pediatrics, University of Utah School of William J. Barson, MD Associate Professor of Medicine, Medicine; Attending Physician, Infectious Professor of Pediatrics, The Ohio State University of Washington School of Diseases, Primary Children’s Hospital, University College of Medicine and Medicine; Associate Member, Division of Salt Lake City, Utah Public Health; Attending Physician, Infectious Diseases, Fred Hutchinson Streptococcus pneumoniae Section of Infectious Diseases, Cancer Research Center, Seattle, Alicia D. Anderson, DVM, MPH Nationwide Children’s Hospital, Washington Veterinary Epidemiologist, Rickettsial Columbus, Ohio BK, JC, and Other Human Polyomaviruses Zoonoses Branch, Division of Vector- Klebsiella and Raoultella Species; Proteus, Borne Diseases, National Center for Providencia, and Morganella Species Emerging and Zoonotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia Coxiella burnetii (Q fever) vii Contributors Anna Bowen, MD, MPH Caroline Breese Hall, MD Carrie L. Byington, MD Medical Epidemiologist, Waterborne Professor of Pediatrics and Medicine, H.A. and Edna Benning Presidential Disease Prevention Branch, Division of University of Rochester School of Professor of Pediatrics, Vice Chair Foodborne, Waterborne, and Medicine and Dentistry; Attending Research Enterprise, Department of Environmental Diseases, National Center Physician, Divisions of Infectious Pediatrics, University of Utah School of for Emerging and Zoonotic Infectious Diseases in Pediatrics and Medicine, Medicine; Section of Infectious Diseases, Diseases, Centers for Disease Control and University of Rochester Medical Center, Primary Children’s Hospital, Salt Lake Prevention, Atlanta, Georgia Rochester, New York City, Utah Enteric Diseases Transmitted through Food, Human Herpesviruses 6 and 7 (Roseola, Streptococcus pneumoniae Water, and Zoonotic Exposures Exanthem Subitum); Human Herpesvirus 8 Kathy K. Byrd, MD, MPH (Kaposi Sarcoma-Associated Herpesvirus) William R. Bowie, MD, FRCPC Medical Epidemiologist, Prevention Professor of Medicine, Division of Joseph S. Bresee, MD Branch, Division of Viral Hepatitis, Infectious Diseases, Department of Chief, Epidemiology and Prevention National Center for HIV/AIDS, Viral Medicine, University of British Columbia, Branch, Influenza Division, National Hepatitis, STD, and TB Prevention, Vancouver, British Columbia Center for Immunizations and Centers for Disease Control and Epididymitis, Orchitis, and Prostatitis Respiratory Diseases, Centers for Disease Prevention, Atlanta, Georgia Control and Prevention, Atlanta, Georgia Hepatitis B and Hepatitis D Viruses Thomas G. Boyce, MD, MPH Viral Gastroenteritis; Astroviruses Associate Professor of Pediatrics, Michael Cappello, MD Department of Pediatric and Adolescent Itzhak Brook, MD, MSc Professor of Pediatrics, Microbial Medicine, Division of Infectious Diseases, Professor of Pediatrics, Georgetown Pathogenesis, and Public Health; Mayo Clinic, Rochester, Minnesota University School of Medicine; Attending Director, Yale Program in International Otitis Externa and Necrotizing Otitis Physician, Georgetown University Child Health, Yale University School of Externa Hospital, Washington, DC Medicine, New Haven, Connecticut Anaerobic Bacteria: Classification, Normal Intestinal Nematodes; Taenia solium, John S. Bradley, MD Flora, and Clinical Concepts; Clostridium Taenia asiatica, and Taenia saginata Professor, Chief, Division of Infectious tetani (Tetanus); Other Clostridium (Taeniasis and Cysticercosis); Taenia Diseases, Department of Pediatrics, Species; Bacteroides and Prevotella Species (Multiceps) multiceps and Taenia serialis University of California School of and Other Gram-Negative Bacilli (Coenurosis) Medicine; Director, Division of Infectious Diseases, Rady Children’s Hospital San Kristina Bryant, MD Bryan D. Carter, PhD Diego, San Diego, California Associate Professor, Department of Professor of Child and Adolescent Chemoprophylaxis; Principles of Anti- Pediatrics, University of Louisville School Psychiatry, Associate Professor of Infective Therapy; Antimicrobial Agents of Medicine; Division of Infectious Pediatrics, University of Louisville School Diseases, Kosair Children’s Hospital, of Medicine; Director, Pediatric Michael T. Brady, MD Louisville, Kentucky Consultation–Liaison Service, Kosair Professor and Chair, Department of Tickborne Infections Children’s Hospital, Louisville, Kentucky Pediatrics, The Ohio State University Chronic Fatigue Syndrome College of Medicine; Physician-In-Chief, E. Stephen Buescher, MD Nationwide Children’s Hospital, Professor of Pediatrics, Eastern Virginia Emily J. Cartwright, MD Columbus, Ohio Medical School; Attending Physician, Epidemic Intelligence Service Officer, Less Commonly Encountered Nonenteric Division of Infectious Diseases, Division of Foodborne, Waterborne and Gram-Negative Bacilli; Eikenella, Children’s Hospital of The King’s Environmental Diseases, National Center Pasteurella, and Chromobacterium Species Daughters, Norfolk, Virginia for Emerging and Zoonotic Infectious Evaluation of the Child with Suspected Diseases, Centers for Disease Control and Denise F. Bratcher, DO Immunodeficiency; Infectious Complications Prevention, Atlanta, Georgia Professor of Pediatrics, University of of Dysfunction or Deficiency of Other Vibrio Species Missouri–Kansas City School of Polymorphonuclear and Mononuclear Medicine; Attending Physician, Section of Mary T. Caserta, MD Phagocytes Infectious Diseases; Pediatrics Residency Professor of Pediatrics, University of Program Director, Children’s Mercy Jane L. Burns, MD Rochester School of Medicine and Hospitals and Clinics, Kansas City, Professor of Pediatrics, University of Dentistry; Attending Physician, Division Missouri Washington School of Medicine; of Pediatric Infectious Diseases, Archanobacterium haemolyticum; Attending Physician, Division of University of Rochester Medical Center, Bacillus Species (Anthrax); Other Infectious Diseases, Seattle Children’s Rochester, New York Corynebacteria; Other Gram-Positive Bacilli Hospital, Seattle, Washington Human Herpesviruses 6 and 7 (Roseola, Infectious Complications in Special Hosts; Exanthem Subitum); Human Herpesvirus 8 Paula K. Braverman, MD Pseudomonas Species and Related (Kaposi Sarcoma-Associated Herpesvirus) Professor of Clinical Pediatrics, University Organisms; Burkholderia cepacia Complex of Cincinnati College of Medicine; Chiara Cerini, MD and Other Burkholderia Species; Attending Physician, Division of Fellow in Pediatrics, Luigi Sacco Hospital, Stenotrophomonas maltophilia Adolescent Medicine, Cincinnati University of Milan School of Medicine, Children’s Hospital Medical Center, Gale R. Burstein, MD, MPH Milan, Italy Cincinnati, Ohio Associate Professor of Clinical Pediatrics, Immunopathogenesis of HIV-1 Infection Urethritis, Vulvovaginitis, and Cervicitis University at Buffalo, The State University Ellen Gould Chadwick, MD of New York; Division of Adolescent Professor of Pediatrics, Feinberg School Medicine, Women and Children’s of Medicine, Northwestern University; Hospital, Buffalo, New York Associate Director, Section of Pediatric Sexually Transmitted Infection Syndromes and Maternal HIV Infection, Division of Infectious Diseases, Children’s Memorial Hospital, Chicago, Illinois Nocardia Species viii Contributors Beth Cheesebrough, MD Beverly L. Connelly, MD Nigel Curtis, FRCPH, PhD Specialist Registrar in Paediatrics, Ealing Professor of Pediatrics, University of Professor, Department of Paediatrics, Hospital, Middlesex, United Kingdom Cincinnati College of Medicine; Director, The University of Melbourne; Head, The Systemic Inflammatory Response Infection Control Program; Director, Infectious Diseases Unit, Department of Syndrome (SIRS), Sepsis, and Septic Shock Infectious Diseases Training Program, General Medicine, Murdoch Children’s Division of Infectious Diseases, Research Institute, Royal Children’s P. Joan Chesney, MD, CM Cincinnati Children’s Hospital Medical Hospital Melbourne, Parkville, Australia Professor of Pediatrics, University of Center, Cincinnati, Ohio Infections Related to the Upper and Middle Tennessee Health Sciences Center; Staff Granulomatous Hepatitis; Acute Pancreatitis; Airways; Mycobacterium Species Physician, Pediatric Infectious Disease Cholecystitis and Cholangitis Non-tuberculosis Section, Le Bonheur Children’s Medical Center; Vice-President, Director, Office of Despina Contopoulos-Ioannidis, MD Dennis J. Cunningham, MD Clinical Education and Training; Member, Clinical Associate Professor, Division of Associate Professor of Pediatrics, The Department of Pediatric Infectious Infectious Diseases and Geographic Ohio State University College of Diseases, St. Jude Children’s Research Medicine, Department of Medicine, Medicine; Medical Director, Hospital, Memphis, Tennessee Stanford University School of Medicine, Epidemiology; Attending Physician, Lymphatic System and Generalized Stanford, California Section of Infectious Diseases, Lymphadenopathy; Mediastinal and Hilar Toxoplasma gondii (Toxoplasmosis) Nationwide Children’s Hospital, Lymphadenopathy Columbus, Ohio James H. Conway, MD, FAAP Enterobacter, Cronobacter, and Pantoea John C. Christenson, MD Associate Professor of Pediatrics, Species Professor of Clinical Pediatrics, Indiana University of Wisconsin School of University School of Medicine; Director, Medicine & Public Health; Division of Linda Marie Dairiki Shortliffe, MD Ryan White Center for Pediatric Pediatric Infectious Diseases, American Stanley McCormick Memorial Professor, Infectious Disease; Director, Pediatric Family Children’s Hospital, Madison, Department of Urology, Lucile Packard Travel Medicine Clinic, Riley Hospital for Wisconsin Children’s Hospital, Stanford University Children, Indianapolis, Indiana Mastoiditis School of Medicine, Stanford, California Laboratory Diagnosis of Infection Due to Urinary Tract Infections; Renal Abscess and Margaret M. Cortese, MD Bacteria, Fungi, Parasites, and Rickettsiae Other Complex Renal Infections Captain, United States Public Health Thomas G. Cleary, MD Service; Medical Epidemiologist, Division Toni Darville, MD Professor, Center for Infectious Diseases, of Viral Diseases, National Center for Carol Ann Craumer Professor of Division of Epidemiology, University of Immunization and Respiratory Diseases, Pediatrics and Immunology, Texas School of Public Health, Houston, Centers for Disease Control and University of Pittsburgh School of Texas Prevention, Atlanta, Georgia Medicine; Chief of Infectious Diseases, Shigella Species Rotaviruses Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania Susan E. Coffin, MD, MPH C. Michael Cotten, MD Chlamydia trachomatis Associate Professor of Pediatrics, Division Associate Professor of Pediatrics, of Infectious Diseases, University of Duke University School of Medicine; Gregory A. Dasch, PhD Pennsylvania School of Medicine; Director, Neonatology Clinical Research, Rickettsial Team Leader, Rickettsial Hospital Epidemiologist and Medical Duke University Medical Center, Zoonoses Branch, Division of Vector- Director, Infection Prevention and Durham, North Carolina Borne Diseases, National Center for Control, Children’s Hospital of Necrotizing Enterocolitis Emerging and Zoonotic Infectious Philadelphia, Philadelphia, Pennsylvania Diseases, Centers for Disease Control Elaine Cox, MD Healthcare-Associated Infections and Prevention, Atlanta, Georgia Assistant Clinical Professor of Pediatrics, Other Rickettsia Species Laura M. Conklin, MD Indiana University School of Medicine; Medical Officer, Division of Bacterial Attending Physician, Section of Infectious Irini Daskalaki, MD Diseases, Division of Emerging Infections Diseases, James Whitcomb Riley Hospital Assistant Professor of Pediatrics, Drexel and Surveillance Services, National for Children, Indianapolis, Indiana University College of Medicine; Attending Center for Preparedness, Detection and Agents of Eumycotic Mycetoma: Physician, St. Christopher’s Hospital for Control of Infectious Diseases, Centers Pseudallescheria boydii (Anamorph Children, Philadelphia, Pennsylvania for Disease Control and Prevention, Scedosporium apiospermum) Corynebacterium diphtheriae Atlanta, Georgia Maryanne E. Crockett, MD, MPH, Robert S. Daum, MD Chlamydophila (Chlamydia) psittaci FRCPC, DTM&H Professor of Pediatrics, Microbiology and (Psittacosis) Assistant Professor, Pediatrics and Child Molecular Medicine, University of Laurie S. Conklin, MD Health, Medical Microbiology, University Chicago; Attending Physician, Assistant Professor of Pediatrics, George of Manitoba; Pediatric Infectious Diseases Department of Pediatrics, University of Washington University School of Consultant, Pediatrics and Child Health, Chicago Comer Children’s Hospital, Medicine; Attending, Department of Winnipeg Children’s Hospital, Winnipeg, Chicago, Illinois Gastroenterology, Hepatology, and Canada Staphylococcus aureus Nutrition, Children’s National Medical Protection of Travelers Fatimah S. Dawood, MD Center, Washington, DC James E. Crowe, Jr, MD Medical Officer, Influenza Division, Acute Hepatitis Ingram Professor of Cancer Research, National Center for Immunization and Professor of Pediatrics, Microbiology and Respiratory Diseases, Centers for Disease Immunology, and the Vanderbilt Vaccine Control and Prevention, Atlanta, Georgia Center, Vanderbilt University Medical Influenza Viruses Center, Nashville, Tennessee Human Metapneumovirus ix
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