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Pediatric Reports

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https://www.readbyqxmd.com/read/27777706/swyer-james-syndrome-in-a-7-year-old-female
#1
Jun Mori, Daisuke Kaneda, Atsushi Fujiki, Kenichi Isoda, Tomoya Kotani, Yo Ushijima
Swyer-James syndrome is a rare syndrome that occurs as a result of repeated bronchiolitis and pneumonitis in childhood. Most cases are asymptomatic, and subsequent diagnosis may not occur until adulthood. We present the case of a 7-year-old female with Swyer-James syndrome, which was initially diagnosed and treated as asthma. The patient developed respiratory distress and atelectasis which were treated with biphasic cuirass ventilation. This case suggests that Swyer-James syndrome should be a concern in patients with chronic cough and wheezing, and highlights the importance of taking a careful history and appropriate radiological investigations for diagnosis...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27777705/post-discharge-formula-fortification-of-maternal-human-milk-of-very-low-birth-weight-preterm-infants-an-introduction-of-a-feeding-protocol-in-a-university-hospital
#2
Abeer El Sakka, Mohamed Sami El Shimi, Kareem Salama, Hend Fayez
The objective of this study is to determine the growth parameters and nutritional biochemical markers and complications of fortification of human milk by post discharge formula of preterm very low birth weight newborns (VLBW). Fifty preterm infants less than 37 weeks with weight less than 1500 g were enrolled in the study. They received parental nutrition and feeding according to our protocol. When enteral feeding reached 100 cc/kg/day, infants were randomized into two groups: group I, Cases, n=25, where post discharge formula (PDF) was used for fortification, group II, Controls, n=25 with no fortification...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27777704/sternal-osteomyelitis-after-bacillus-calmette-gu%C3%A3-rin-vaccination
#3
Rolandas Selvestravičius, Elena Sučilienė, Kęstutis Saniukas, Odeta Bobelytė, Vytautas Usonis
Presented here is the case of a nine-month-old boy with the osteomyelitis of the upper area sternum caused by bacillus Calmette-Guerin (BCG), the Danish 1331 strain vaccine against tuberculosis. Upon examination, a swelling of approximately 2×3 cm diameter was observed in the upper sternal area. The mass was hard, fixed and sensitive to palpation with no local skin hyperaemia. Chest X-rays revealed a round mass anterior to the sternum, suggesting a diagnosis of osteomyelitis. A consequent sternal biopsy was performed and Mycobacterium bovis BCG was identified by a positive growth culture...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27777703/mild-encephalopathy-with-reversible-lesions-in-the-splenium-of-corpus-callosum-and-bilateral-cerebral-deep-white-matter-in-identical-twins
#4
Junko Tahara, Jun Shinozuka, Hitoshi Awaguni, Shin-Ichiro Tanaka, Shigeru Makino, Rikken Maruyama, Shinsaku Imashuku
Identical twin brothers developed mild encephalopathy at the age of 7.0 and 9.7 years (Patient 1) and 10.7 years (Patient 2). Patient 1 had influenza A at the time of his second episode, but triggering agents were not evident at the first episode. The triggering agents in Patient 2 were unclear. The neurological features of both patients included transient facial numbness, left arm paresis, dysarthria, and gait disturbance. Diffusion-weighted images from magnetic resonance imaging showed high signal levels at the splenium of corpus callosum and in the bilateral cerebral deep white matter...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27777702/bruises-around-the-umbilicus-in-an-infant
#5
Sam Hassan, Ghassan Nakib, Mary J Saviour
The most common causes of umbilical discharge in infancy are infection and umbilical granuloma that may be treated by antibiotics and topical application of silver nitrate subsequently. If the umbilical discharge persists or if there is any abnormal discoloration around the umbilicus, it is important to investigate for underlying congenital abnormality that may be cured by surgical intervention. Unusual presentation of omphalomesenteric duct cyst has been reported in literature. We report, for the first time as far as our search is concerned, a case of a 16-month-old infant who presented initially with persistent umbilical discharge and finally with bruising around the umbilicus in keeping with Cullen's sign...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27777701/the-role-of-dna-amplification-and-cultural-growth-in-complicated-acute-appendicitis
#6
Francesca Tocchioni, Chiara Tani, Laura Bartolini, Maria Moriondo, Francesco Nieddu, Patrizia Pecile, Chiara Azzari, Antonio Messineo, Marco Ghionzoli
Bacterial growth of peritoneal fluid specimens obtained during surgical procedures for acute appendicitis may be useful to optimize further antibiotic therapy in complicated cases. DNA amplification represents a fast technique to detect microbial sequences. We aimed to compare the potential of DNA amplification versus traditional bacterial growth culture highlighting advantages and drawbacks in a surgical setting. Peritoneal fluid specimens were collected during surgery from 36 children who underwent appendectomy between May and December 2012...
September 19, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27433308/novel-use-of-an-ultrafiltration-device-as-an-alternative-method-for-fluid-removal-in-critically-ill-pediatric-patients-with-cardiac-disease-a-case-series
#7
Sujata Chakravarti, Yasir Al-Qaqaa, Meghan Faulkner, Puneet Bhatla, Michael Argilla, Michelle Ramirez
Fluid overload (FO) is a common complication for pediatric patients in the intensive care unit. When conventional therapy fails, hemodialysis or peritoneal dialysis is classically used for fluid removal. Unfortunately, these therapies are often associated with cardiovascular or respiratory instability. Ultrafiltration, using devices such as the Aquadex™ system (Baxter Healthcare, Deerfield, IL, USA), is an effective tool for fluid removal in adult patients with congestive heart failure. As compared to hemodialysis, ultrafiltration can be performed using smaller catheters, and the extracorporeal volume and minimal blood flow rates are lower...
June 15, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27433307/adams-oliver-syndrome-a-case-with-full-expression
#8
Amir Dehdashtian, Masoud Dehdashtian
Adams-Oliver syndrome (AOS) is characterized by the combination of congenital scalp defects (aplasia cutis congenita) and terminal transverse limb defects of variable severity. It is believed that Adams-Oliver syndrome without major organ abnormalities does not necessarily alter the normal lifespan. We present a case without detectable major organ abnormality contrary to life but with poor weight gain. A male infant with scalp and skin cutis aplasia, generalized cutis aplasia, dilated veins over scalp and trunk, hypoplastic toes and nails of feet, glaucoma, poor feeding and poor weight gain...
June 15, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27433306/clobazam-and-its-use-in-epilepsy
#9
REVIEW
Marius Pernea, Alastair G Sutcliffe
Clobazam (CLB) is an older anti-epileptic drug, with a slightly different chemical structure from that of the classic benzodiazepines currently used in the treatment of epilepsy, which confers less sedative properties in terms of negative adverse effects. It is also thought to be better tolerated than other anti-epileptic drugs, whilst maintaining a very similar level of efficacy. It has been tested extensively in over 50 studies on more than 3000 patients with epilepsy and is now approved as an adjunctive treatment of epilepsy in >100 countries...
June 15, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27433305/non-activated-protein-c-supplementation-in-septic-pediatric-hematological-patients
#10
Teresa Perillo, Paola Muggeo, Giampaolo Arcamone, Francesco De Leonardis, Nicola Santoro
The purpose of the study was to examine safety and efficacy of non-activated Protein C (PC) supplementation in our cohort of septic pediatric hematological patients. We conducted a retrospective study of 22 septic patients receiving human plasma-derived PC concentrate from 2008 to 2015 at our Pediatric Oncology Center (Bari, Italy). The Surviving sepsis campaign definitions for sepsis, severe sepsis and septic shock were used to define the patients' septic status. For each patient, we calculated Lansky performance status scale (LPSS) and a risk score defined the Hematologic risk score (HRS) that we created in 2007...
June 15, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27433304/sibship-and-self-esteem-in-children-with-asthma
#11
Concetta Polizzi, Valentina Fontana, Antonio Carollo, Alessandra Bono, Sofia Burgio, Giovanna Perricone
This study has explored the valence of sibship that may empower the self-esteem of children with asthma at the interpersonal, environmental control competence, emotionality management, and body-image levels. It has been assumed that the relationship between siblings may have a moderating effect on the negative impact that asthma has on child's development. Seventy children suffering from chronic asthma have been involved: 40 children with siblings (experimental group) and 30 sibling-free children (control group)...
June 15, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27114819/rarely-seen-nasal-congenital-problems-causing-neonatal-upper-respiratory-obstruction-a-case-series
#12
Yeşim Başal, Abdullah Bariş Akcan, Yasemin Durum Polat, Ceren Günel, Aylin Eryilmaz, Sema Başak
Since newborns are obligatory nasal breathers, upper respiratory tract problems may sometimes be life threatening. The most common pathology causing dyspnea and stridor in newborns is laryngomalacia. Nasal cavity pathologies that risk the neonatal airway are more rarely met. These anomalies may be seen either as solitary anomalies or as a part of a syndrome. While choanal atresia is one of the best-known nasal cavity anomalies, choanal stenosis, congenital nasal mid-line masses, congenital nasal pyriform aperture stenosis, and nasal tip anomalies are more rarely seen structural pathologies...
March 31, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27114818/is-there-any-relationship-between-extra-pulmonary-manifestations-of-mycoplasma-pneumoniae-infection-and-atopy-respiratory-allergy-in-children
#13
Dimitri Poddighe, Gian Luigi Marseglia
Mycoplasma pneumoniae is a common cause of respiratory infections in children, but sometimes extra-pulmonary diseases can be observed. The immunological mechanisms involved in these extra-respiratory complications are unknown. Here, we report a small case series of Mycoplasma-related diseases including 5 children who developed: i) aseptic meningitis; ii) urticarial rash and pericardial effusion; iii) pleural effusion with severe eosinophilia; iv) Stevens-Johnson syndrome; v) multiform erythema. Interestingly, all children were moderately to highly atopic, as a common immunologic feature...
March 31, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27114817/impact-of-music-in-reducing-patient-anxiety-during-pediatric-ultrasound
#14
Andrew Kesselman, Michael Bergen, Dimitre Stefanov, Rachelle Goldfisher, John Amodio
The use of noninvasive ultrasound examinations can potentially result in significant anxiety in the pediatric population. The purpose of this study was to assess the influence of music during pediatric ultrasound examinations to reduce anxiety measured by heart rate. A total of 44 patients were recruited; 21 controls and 23 experimental. Each participant was randomized to either music or no music (control) after parental consent was obtained. Pulse oximeters were used to monitor heart rate at 15 second intervals for a total of 1 minute, with mean values calculated prior to entering the procedure room, during the middle of the procedure, and after the procedure was completed...
March 31, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27114816/salivary-cortisol-levels-the-importance-of-clown-doctors-to-reduce-stress
#15
Flávia G Saliba, Natanael S Adiwardana, Eliane U Uehara, Renata N Silvestre, Victor V Leite, Francisca T V Faleiros, Flávia H P Padovani, Juliana I F De Gobbi
This study was designed to correlate entertainment of clown-doctors (CD) activities on hospitalized children and aphysiological bio-marker. For this purpose we collected saliva samples and verified children satisfaction with these activities by using a visual analog scale (VAS). Children from 6 to 7 years-old, with diagnosis of any acute pathology, interned in the Pediatric Ward of the Botucatu Medical School Hospital (São Paulo, Brazil) were interviewed. Two groups were taken into consideration: lunchCD and dinnerCD...
March 31, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/27114815/the-use-of-splenectomy-to-manage-platelet-transfusion-refractoriness-due-to-anti-human-leukocyte-antibodies-in-allogeneic-stem-cell-transplantation
#16
Margherita Mauro, Francesco Camoglio, Pierluigi Piccoli, Massimiliano De Bortoli, Rita Balter, Anna Pegoraro, Simone Cesaro
In patients undergoing hematopoietic stem cell transplantation (HSCT), refractoriness to platelet transfusion has been associated with graft failure, delayed engraftment, early mortality and decreased overall survival. Therapeutic strategies include plasma exchange, immunoglobulins, rituximab, and splenectomy. We describe here three patients with refractoriness to platelet transfusion due to anti-human leukocyte antibodies who were splenectomized before HSCT (two cases) and after HSCT (one case) due to the lack of efficacy of other therapies...
March 31, 2016: Pediatric Reports
https://www.readbyqxmd.com/read/26734126/neonatal-hemophilia-a-rare-presentation
#17
Nuno Ferreira, Elisa Proença, Cristina Godinho, Dulce Oliveira, Ana Guedes, Sara Morais, Carmen Carvalho
Hemophilia A is a X-linked hereditary condition that lead to decreased factor VIII activity, occurs mainly in males. Decreased factor VIII activity leads to increased risk of bleeding events. During neonatal period, diagnosis is made after post-partum bleeding complication or unexpected bleeding after medical procedures. Subgaleal hemorrhage during neonatal period is a rare, severe extracranial bleeding with high mortality and usually related to traumatic labor or coagulation disorders. Subgaleal hemorrhage complications result from massive bleeding...
December 9, 2015: Pediatric Reports
https://www.readbyqxmd.com/read/26734125/specific-echocardiographic-findings-useful-for-the-diagnosis-of-common-pulmonary-vein-atresia
#18
Hiroyuki Nagasawa, Kazuhiro Hirata
In this paper, we report a case of common pulmonary vein atresia, which is a very rare disease characterized by cyanosis, heart failure and pulmonary hypertension. Reverse flow in the pulmonary artery at end-diastole as well as in the isthmus of the aorta from early systole to end-diastole detected by echocardiography were found to be specific features useful in diagnosing the disease.
December 9, 2015: Pediatric Reports
https://www.readbyqxmd.com/read/26734124/late-onset-rash-in-patients-with-group-a-beta-hemolytic-streptococcal-pharyngitis-treated-with-amoxicillin
#19
Masahiko Kimura
We observed late-onset rashes in patients with group A beta-hemolytic streptococcal (GAS) pharyngitis. Of 1028 patients with GAS pharyngitis, which was principally treated with amoxicillin, we evaluated those who developed a late-onset rash and excluded those with scarlet fever alone. Twenty-one patients developed a rash (2.0%, 95% confidence interval, 1.3-3.1%), 7 to 20 days (median, 8 days) after GAS pharyngitis onset. The rashes were characterized by maculopapules, which increased in size with coalescence and some developing into plaques, with a symmetrical distribution with a propensity for the extremities, including the palms and soles...
December 9, 2015: Pediatric Reports
https://www.readbyqxmd.com/read/26734123/diagnostic-path-of-a-genetic-disease-a-case-of-williams-beuren-syndrome-in-burkina-faso
#20
Makoura Barro, Bintou Sanogo, Aimée S Kissou, Ad Bafa Ibrahim Ouattara, Boubacar Nacro
Williams-Beuren syndrome (WBS) is a rare neurodevelopmental disorder characterized by a set of somatic, psychological, and behavioral abnormalities, which is caused by a deletion of several genes. Herein we report a 6 year-old boy, who presented with mental retardation and psychological disorders. The result of the first clinical examination was poor, since it didn't detect any dysmorphic feature which is a major component for the clinical diagnosis of WBS. Despite the multidisciplinary and the multicenter approaches used, the diagnosis of WBS (deletion of chromosome band 7q11...
December 9, 2015: Pediatric Reports
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