Severe acute respiratory syndrome coronavirus 2 infection in children mainly shows a milder course. In complicated cases, it is unknown whether inflammation is predictive of disease severity, as in adults. Moreover, cardiac involvement is anecdotally described. We report the case of a 2-month-old infant with severe acute respiratory syndrome coronavirus 2 infection presenting with fever, tachycardia and elevated interleukin-6, who was diagnosed with myocarditis and treated with immunoglobulins.

Background and case presentationA three year old, second lactation Holstein dairy cow presented to the Scottish Centre for Production Animal Health and Food Safety, Glasgow University Veterinary School in November 2014 with a history of post-calving vulval/vaginal bleeding nine days prior to presentation, followed by a sudden reduction in milk yield. Subsequent investigations resulted in a diagnosis of immune-mediated haemolytic anaemia secondary to infection with Mycoplasma wenyonii. ConclusionThis report of a novel presentation of Mycoplasma wenyonii in a dairy cow illustrates the need to consider M.wenyonii as a potential differential diagnosis when a cow presents with anaemia and will discuss the potential implications of the condition at herd-level.

Objective: To assess the General Practitioners (GPs) knowledge regarding Age Related Macular Degeneration (ARMD) in order to better design a specific training program, then to evaluate the achievement of their clinical competences in the care of ARMD after taking a specific training program. Methods:The first part of the study was a postal questionnaire survey sent to all GPs in Castilla & León. An interactive e-learning program with virtual tutorials was specifically designed for them to cover the identified gaps.Results: 725 GPs out of 2365 answered the survey, and 44% of them recognized they did not know the best screening test (Amsler grid). Around 30% did not know about the bilateralism, prevalence, risk factors, prevention or treatment of ARMD. Younger physicians knew more about ARMD. A specifically designed course was offered to 205 GPs and 164 completed it. We found a higher number of female and younger doctors doing the course compared with the group answering the previous survey. The answer "I do not know" almost disappeared after the course. The probability of suspecting a typical case of ARMD was higher after the course. Conclusions:The specific interactive online training program focused on covering the identified GPs´ gaps led to an effective learning.