title: Hemorrhage and shock associated with invasive pneumococcal infection in healthy infants and children--New Mexico, 1993-1994.
abstract: From December 1993 through May 1994, four previously healthy children (including two infants) in New Mexico developed a severe illness characterized by septic shock and hemorrhage into the skin or internal organs. An investigation subsequently implicated Streptococcus pneumoniae as the cause of illness. The two infants attended the same child care center (CCC) and died 6 weeks apart. This report describes the syndrome, an investigation of potential transmission in the CCC, and prevention measures.
mesh_terms: D002656:Child Day Care Centers; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D009516:New Mexico / Q000453:epidemiology; D011008:Pneumococcal Infections / Q000150:complications* / Q000453:epidemiology* / Q000635:transmission; D012772:Shock, Septic / Q000453:epidemiology* / Q000209:etiology