When Dr. Lisa V. Luly-Rivera admitted the 14-year-old girl to the University of Miami’s tent hospital at the airport in Port-au-Prince, the girl’s leg was edematous and she had some hyperpigmentation. But between one day and the next, her leg became warm, and the warmth started moving up toward her thigh. The leg was clearly infected.The surgeons, fearing necrotizing fasciitis, wanted to amputate. Dr. Luly-Rivera, a hospitalist at the University of Miami who was in Haiti to help earthquake...

NEW YORK (EGMN) – Although the majority of children with Kawasaki disease responds well to intravenous immunoglobulin therapy, 10%-15% of these patients are refractory to the first course of IVIG, and 50% of those continue to manifest fever after the second IVIG dose. At a meeting sponsored by New York University, Dr. Philip J. Kahn described current treatment options for the child with refractory Kawasaki disease.“Kawasaki disease is the No. 1 cause of acquired heart disease in children in...