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PCCSF’s Dr. Greissman Discusses Meningitis with HealthyWay

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What may seem as a normal cold or flu could instead be the potentially life-threatening infection, meningitis. Because it’s important to act quickly, patients should understand the telltale signs of meningitis and take the appropriate medical action. Dr. Allan Greissman of Pediatric Critical Care of South Florida shared with HealthyWay what symptoms patients should look out for.

Everyone gets sick from time to time. But sometimes, what we think of as a normal cold or flu might actually be far more dangerous. With flu season fast approaching, it’s important to understand and recognize the difference between normal illness and more serious conditions.

If flu-like symptoms come on and escalate quickly, it may mean you or a loved one has actually contracted meningitis. Meningitis is an infection that causes our meninges—the membranes that provide a protective barrier for the brain and spinal cord—to swell.

Meningitis is a serious condition that requires immediate attention from a medical professional. It can be life-threatening if left untreated, so it is important to understand the telltale symptoms. When you can spot symptoms early on, you can quickly seek out medical attention that can mitigate the negative effects of the disease.

Understanding the Types of Meningitis

There are a few different types of meningitis, but bacterial and viral meningitis are the two most common.

Bacterial meningitis is the most severe form of meningitis and can be fatal, especially if treatment is delayed. There are many types of bacteria that can cause meningitis, including Streptococcus pneumoniae, Group B Streptococcus, and Listeria monocytogenes.

Thankfully, the introduction of and increased access to safe and effective vaccines resulted in a steady decrease in bacterial meningitis cases since the 1990s. However, cases that do occur are dangerous and can be fatal if left untreated.

Bacterial meningitis is treated with oral or IV antibiotics, and treatment can last between 10 and 21 days, according to Allan Greissman, MD, of Pediatric Critical Care of South Florida.

The second most commonly experienced meningitis is viral meningitis. Although there is no vaccine for viral meningitis, you can be vaccinated against some of the viruses that could cause meningitis, like measles, mumps, or influenza.

It helps to think of viral meningitis as a potential complication of these other viruses. This means that, although you might catch measles, mumps, or the flu from someone with viral meningitis, that doesn’t necessarily mean you will also develop viral meningitis.

“Viral meningitis will run its course and should not [be], and is not, treated with IV antibiotics,” says Greissman. He notes that one exception is a form of viral meningitis caused by the herpes viruses, which is treated with an antiviral medication.

To read the full story, visit Healthy Way.

PCCSF’s Dr. Allan Greissman honored with JDCH Circle of Friends Award

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Dr. Allan Greissman of Pediatric Critical Care of South Florida was recently honored by Joe DiMaggio Children’s Hospital Circle of Friends for his outstanding work as a pediatric intensivist.

JDCH’s Circle of Friends is part of the hospital’s giving societies. The award recognizes physicians that exemplify the spirit and mission of the hospital and provide extraordinary care for JDCH patients, families and community.

As a senior member of Pediatric Critical Care of South Florida since 1994, Dr. Greissman develops procedural sedation programs, the care of the chronically ventilated patient and community outreach. He actively lectures throughout the South Florida community on various topics related to pediatrics.

Congratulations Dr. Greissman and thank you for your work!

PCCSF’s Dr. Greissman Weighs in on the Truth About Tamiflu

3-20-18

Dr. Allan Greissman of Pediatric Critical Care of South Florida discussed with Motherly Tamiflu’s safety. As the only treatment for the flu, it’s important for parents to be aware of the medication’s potential side effects, especially during this deadly flu season.

This year’s flu season is already the worst North America has endured in a decade—which is, of course, a concern for parents of young children, who are more likely to experience serious complications from the illness.

If you or your children are struck by the flu, your health care provider is likely to write up a prescription for Tamiflu: If taken within 48 hours of symptom appearance, the antiviral drug may lessen the duration and severity of the flu. This application is recommended by both the American Academy of Pediatrics and the Centers for Disease Control and Prevention for use in infants as young as 2 weeks old.

It is also approved for preventative treatment, meaning it may help other members in the household avoid the flu if a member of the family has already been diagnosed with the illness.

For parents of young children or those at higher risk for flu complications, this makes Tamiflu a particularly good option, says Allan Greissman, MD, a pediatric critical care specialist at Pediatric Critical Care of South Florida.

“Unfortunately this year we are seeing a large number of flu-positive pediatric patients having a very serious strain of the flu. We are also seeing many more deaths from the flu and many kids with other significant problems related to the flu,” Greissman tells Motherly. “So for that reason, getting a flu shot and treatment with Tamiflu should strongly be considered.”

To read the full story, visit Motherly.

PCCSF Treats South Florida Toddler for the Flu

Pediatric Critical Care of South Florida’s Dr. Allan Greissman shared with Local 10 News the story of Michael, a 3-year-old Ft. Lauderdale boy who recently underwent critical treatment for the flu.

During this deadly flu season, the CDC is reporting 53 child deaths and is warning that we have not seen the worst of it yet. According to Dr. Greissman, the most common reason for a child with the flu to be admitted to PCCSF is high-grade fever or dehydration. Michael, like many patients who are admitted to PCCSF, began to suffer from “end-organ disease” as he fought off the flu.

Michael is a reminder of how dangerous this flu season is and the importance of getting the flu shot.

HOLLYWOOD, Fla. – Michael celebrated his 3rd birthday at Joe DiMaggio Children’s Hospital, the pediatric unit of Memorial Regional Hospital in Hollywood.

His mom said he first got a rash and complained of joint pain. Then he had a fever. Eventually, tests showed the toddler was infected with an aggressive form of the flu.

“Michael had a lot of what we call ‘end organ disease.’ It affected his neurological status, it affected his heart,” Dr. Allan Greissman said. “It affected his kidneys, it affected his lungs and it affected his liver.”

Greissman, a pediatric critical care specialist at Pediatric Critical Care of South Florida at the hospital, said Michael is recovering, but Dylan Winnick was not so lucky. The 12-year-old from West Palm Beach is among the 53 other children who have died of the flu around the nation. The Centers for Disease Control had bad news again Friday. The flu season has intensified and there are more weeks of suffering ahead.

One of every 14 visits to doctors and clinics were for fever, cough and other symptoms of the flu. That’s the highest level since the swine flu pandemic in 2009. Last week, 42 states reported high patient traffic for the flu, up from 39.

Hospital stays because of the flu also increased.

To read the full story, visit Local 10 News.

Pediatric Critical Care of South Florida Featured on Local 10 2-2-18 from Diana Somarriba on Vimeo.