Publications by authors named "Justin Neff"
Monkeypox in a Traveler Returning from Nigeria - Dallas, Texas, July 2021.
MMWR Morb Mortal Wkly Rep
April 2022
Article Synopsis
- Monkeypox is a rare zoonotic infection mainly found in west and central Africa, caused by the Monkeypox virus, which is related to the smallpox virus.
- After nearly four decades without cases in Nigeria, a significant outbreak occurred between 2017-2018, resulting in 118 confirmed infections, followed by sporadic cases, including six diagnoses in non-African countries between 2018 and 2021.
- In July 2021, a traveler from Nigeria to Texas was diagnosed with monkeypox, with 74% of monitored contacts being flight contacts; the patient was treated with an antiviral and required decontamination, but the exact source of the infection remains unidentified.
Background: Many emergency physicians order chest x-rays (CXRs) for pediatric patients who present with a chief complaint of chest pain despite a paucity of research to support this testing, which exposes patients to radiation, cost, and delays.
Objectives: This study aimed to begin development of a decision making tool that will allow emergency physicians to selectively obtain CXR films in pediatric patients presenting with chest pain.
Methods: We performed a retrospective cohort study of 400 consecutive pediatric patients with a chief complaint of chest pain and reviewed charts to determine how many received a CXR and which clinical characteristics were present in all patients.