Gonococcal orbital cellulitis is an infrequent presentation within the pediatric age group, with very few cases reported in literature. Even rarer, is the nonvenereal transmission via fomites. Careful physical examination with detailed social evaluation must always be obtained in any child with a gonococcal infection to look for signs or evidence of sexual abuse. This paper reports a 3-year-old male who developed a left preseptal and postseptal gonococcal orbital cellulitis via a nonsexual mode of transmission.
Newborn screening is an important tool in the early diagnosis or detection of rare genetic and metabolic conditions. There are external factors that may influence results. One such is infant nutrition. This article discusses the case of a three month old infant with an abnormal newborn screen in the setting of being fed whole goat milk as well as the importance of reviewing infant nutrition with parents.
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