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Danilo.Buonsenso_Surf4Children

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@surf4children

Pediatrician/pedsID working on #longcovidkids, #TB, #congenitalinfections☀️funder of surf4children no profit.
MY BOOK ON LONG COVID tinyurl.com/4tsvhwat
Roma, Lazio surf4children.it Joined July 2015
727 Following 5.5K Followers 15K Posts

Latest posts 5

Danilo.Buonsenso_Surf4Children Verified account @surf4children
many families ask me that and I confess I struggle, that is why I first do a comprehensive exclusion diagnosis in this scenario:

How do we recognize Long COVID in a child too young to describe fatigue or brain fog?

Sleep changes, feeding difficulties or reduced activity may be important clues—but none is specific.

Pediatric Long COVID research needs age-appropriate tools, not just adult questionnaires.

Does anyone has a direct experience as a doctor or a parent? For kids like younger than 7-8yro?
Danilo.Buonsenso_Surf4Children Verified account @surf4children
when I post some achievements you should remember my background:

I’m literally no one arrived from
nowhere, I entered academy without growing up under a professor, I work in a relatively small pediatric department, I have no one under me working basically by myself.

I than found myself dealing with patients of all age from all over the world, now the biggest International institutions are starting to do what I was doing to these patients, after they could not believe with their eyes what was going on with them!

You understand I can be a little happy from a professional perspective

#longcovid
#pans
#mecfs
#pandas
3 replies 1 reposts 33 likes 787 views View on X
Danilo.Buonsenso_Surf4Children Verified account @surf4children
today medical student scenario in our clinic.

Clinical challenge:

A 18-year-old has 3 weeks of fever, weight loss and a new murmur. Echo shows a mitral vegetation.

Blood cultures are negative. He received amoxicillin last week.

Does this exclude infective endocarditis?

What would you investigate next?
Danilo.Buonsenso_Surf4Children Verified account @surf4children
many #LongCovid trials out but something keeps not convincing me!

In Long COVID research, a statistically significant change isn't always a meaningful improvement.

Can patients think more clearly? Manage daily activities? Recover better after exertion?

I'd like to see more trials built around outcomes that patients themselves consider important.

To make it simple:
- working age patient: is he/she back to work?
- adolescent: is he/she back to school?

your ideas?
how to measure it?