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If the younger sib were <6 mos old i think I would prophylaxe (sp?) with Tamiflu, still wouldn't rx the 9 y/o sib.  It's a big disappointment that there is no reliable rapid testing for H1N1 but here you have a confirmed exposure.

 

James Reingold, M.D.

Cardon Children's Hospital

Mesa, AZ
 
> Date: Sun, 16 Aug 2009 12:16:00 -0400
> From: [log in to unmask]
> Subject: Re: another case
> To: [log in to unmask]
> 
> No to all 3
> 
> (sent from mobile phone)
> James Chamberlain
> Division Chief, Emergency Medicine
> Children's National Medical Center
> 
> 
> -----Original Message-----
> 
> From: "don zweig" <[log in to unmask]>
> Subj: another case
> Date: Sun Aug 16, 2009 11:35
> Size: 614 bytes
> To: "[log in to unmask]" <[log in to unmask]>
> 
> (9 yo boy returns from camp and parents get letter that another camp 
> kid just dx with swine flu. Other camper is a girl and was in another 
> cabin but they had contact. camp duration 5days and he returned 
> yesterday. this am develops minimal cough and fever to 102 but feels 
> well and no other sx and normal exam. 
> 
> Do you do any tests? 
> 
> Give tamiflu to him? 
> 
> Give tamiflu to his 2 yo sister? 
> 
> don 
> 
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