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Unlabelled: To analyse the ability of the non-specialized paediatrician to evaluate children with a heart murmur and the consequences of this evaluation for the need of further investigations, we undertook a prospective and consecutive study of 100 children, referred for initial evaluation of a heart murmur. Except for 1 child with a slight peripheral pulmonary artery stenosis, 53% of the children were correctly diagnosed as having no heart disease. In a project design where 47% of the children were referred for an echocardiographic study, no clinically significant heart disease was missed.Conclusion: Clinical evaluation without laboratory tests performed by paediatricians without any special training in cardiology could correctly acquit 50% of the children of heart disease, with no need for further investigation. [ABSTRACT FROM AUTHOR]

Unlabelled: In a 9-week-old boy with Kawasaki disease an active parvovirus B19 infection was diagnosed serologically.Conclusion: This case supports the hypothesis of an aetiological relationship between parvovirus B19 infection and Kawasaki disease. [ABSTRACT FROM AUTHOR]