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https://www.readbyqxmd.com/read/27775308/-appendicular-actinomycosis-as-a-cause-of-ileocecal-mass-in-children-case-report
#1
M Fernández Castilla, A Salazar Villacorta, A Martín Nalda, J C Ferreres Piñas, A Coma Muñoz, G Guillén Burrieza
INTRODUCTION: Appendicular actinomycosis is a rare disease produced by cecal appendix invasion by Actinomyces gender bacteria after a predisposing cause that disrupts mucosal barrier, such as acute appendicitis. The highest frequency appears in adults; however, there are cases in paediatric age described in literature. The aim of this article is to introduce a case of appendicular actinomycosis in a child with atypical presentation and to review the literature. CLINICAL CASE: 10-year-old boy transferred to our hospital due to intraoperative finding at a different centre of a right flank tumor, without identification of cecal appendix...
July 20, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27760719/diagnostic-accuracy-of-fibrinogen-to-differentiate-appendicitis-from-nonspecific-abdominal-pain-in-children
#2
Marcos Prada-Arias, José Luis Vázquez, Ángel Salgado-Barreira, Javier Gómez-Veiras, Margarita Montero-Sánchez, José Ramón Fernández-Lorenzo
AIM: The aim of this study was to assess the diagnostic accuracy of the biomarker fibrinogen (FB), along with the more traditional markers white blood cell count (WBC), absolute neutrophil count (ANC), and C-reactive protein (CRP), to discriminate appendicitis from nonspecific abdominal pain (NSAP) in children. METHODS: We prospectively evaluated all children aged 5 to 15 years admitted for suspected appendicitis at an academic pediatric emergency department during 2 years...
October 5, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27661040/lead-poisoning-in-a-16-year-old-girl-a-case-report-and-a-review-of-the-literature-care-compliant
#3
Cristina Oana Mărginean, Lorena Elena Meliţ, Horaţiu Moldovan, Vasile Valeriu Lupu, Maria Oana Mărginean
BACKGROUND: Lead is a toxic element of the environment which leads to major complications once it enters the blood stream, affecting multiple organs and systems of the body. METHODS: We present the case of a 16-year-old girl, diagnosed with lead poisoning after occupational exposure due to the fact that the girl was actively involved in the family's pottery business.History revealed that the girl participated in the process of pottery, her father was also diagnosed with lead poisoning 2 years before...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27592212/time-of-day-and-appendicitis-impact-on-management-and-outcomes
#4
Frederick Thurston Drake, Neli E Mottey, Anthony A Castelli, Michael G Florence, Morris G Johnson, Scott R Steele, Richard C Thirlby, David R Flum
BACKGROUND: Observational research has shown that delayed presentation is associated with perforation in appendicitis. Many factors that affect the ability to present for evaluation are influenced by time of day (eg, child care, work, transportation, and office hours of primary care settings). Our objective was to evaluate for an association between care processes or clinical outcomes and presentation time of day. METHODS: The study evaluated a prospective cohort of 7,548 adults undergoing appendectomy at 56 hospitals across Washington State...
August 31, 2016: Surgery
https://www.readbyqxmd.com/read/27376232/appendicitis-in-an-infant-with-atypical-features
#5
Shirin Sayyahfar, Fariba Jahangiri, Elham Zarei
Acute appendicitis is an uncommon and challenging disease in infancy. Usually, the clinical presentation in neonates and infants is non-specific and varies depending on the age of the child and duration of the disease. Diagnosis of incomplete and atypical Kawasaki disease (KD) in infants is also a challenging aspect and there is no gold standard for this diagnosis and sometimes fever is the only symptom that could be found. Herein, we report a 6-month infant with a 7 days of fever and bilateral pleural effusion, elevated erythrocyte sedimentation rate, thrombocytosis, hypo-albominemia, normal abdominal ultrasound, and primary diagnosis of KD...
June 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27229509/magnetic-resonance-imaging-in-pediatric-appendicitis-a-systematic-review
#6
REVIEW
Michael M Moore, Afif N Kulaylat, Christopher S Hollenbeak, Brett W Engbrecht, Jonathan R Dillman, Sosamma T Methratta
Magnetic resonance imaging for the evaluation of appendicitis in children has rapidly increased recently. This change has been primarily driven by the desire to avoid CT radiation dose. This meta-analysis reviews the diagnostic performance of MRI for pediatric appendicitis and discusses current knowledge of cost-effectiveness. We used a conservative Haldane correction statistical method and found pooled diagnostic parameters including a sensitivity of 96.5% (95% confidence interval [CI]: 94.3-97.8%), specificity of 96...
May 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27186044/duplication-of-vermiform-appendix
#7
Gulzar Ahmad Bhat, Tarooq Ahmad Reshi, Asiya Rashid
The vermiform appendix is a tubular, narrow, worm-shaped part of the alimentary canal that lies near the ileocecal junction and communicates with the caecum. Duplication of the vermiform appendix is rare, with a reported incidence of 0.004 %. Till now, fewer than 100 cases have been reported. We present a case of an 8-year-old male child with duplex appendix who presented to the emergency department of our institution with features of acute appendicitis.
February 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27175718/acute-abdominal-pain-in-children
#8
Carin E Reust, Amy Williams
Acute abdominal pain accounts for approximately 9% of childhood primary care office visits. Symptoms and signs that increase the likelihood of a surgical cause for pain include fever, bilious vomiting, bloody diarrhea, absent bowel sounds, voluntary guarding, rigidity, and rebound tenderness. The age of the child can help focus the differential diagnosis. In infants and toddlers, clinicians should consider congenital anomalies and other causes, including malrotation, hernias, Meckel diverticulum, or intussusception...
May 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/27077617/henoch-sch%C3%A3-nlein-purpura-complicated-by-acalculous-cholecystitis-and-intussusception-and-following-recurrence-with-appendicitis
#9
Ahmet Kağan Özkaya, Ekrem Güler, Ahmet Çetinkaya, Ali Erdal Karakaya, Yalçın Göksügür, Ömer Katı, Ahmet Gökhan Güler, Mehmet Davutoğlu
Henoch-Schönlein purpura (HSP) is the most common childhood systemic vasculitis. Gastro-intestinal involvement occurs in two-thirds of patients. The characteristic skin lesions generally precede abdominal symptoms or present concurrently. A 7-year-old boy presented with intussusception and acalculous cholecystitis and had a cholecystectomy. Two weeks later he was re-admitted with features typical of HSP which responded to corticosteroids. Eleven months later he presented with abdominal pain and recurrence of HSP and, at laparotomy, there was acute appendicitis...
May 2016: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/27073299/early-laparoscopic-management-of-appendicular-mass-in-children-still-a-taboo-or-time-for-a-change-in-surgical-philosophy
#10
Vikesh Agrawal, Himanshu Acharya, Roshan Chanchlani, Dhananjaya Sharma
INTRODUCTION: Early appendicectomy has been found to be a safe and better alternative for management of appendicular mass in various studies in adults, while very few studies report such advantages in the paediatric population. We conducted this study to assess the safety, efficacy and need of early laparoscopic appendicectomy (ELA) in child patients with appendicular mass. MATERIALS AND METHODS: All patients with appendicular mass who underwent ELA at our institute between September 2011 and August 2014 were retrospectively reviewed...
April 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27065691/an-unusual-case-of-appendiceal-carcinoid-tumor-in-a-child-case-report
#11
S Sushma, C S B R Prasad, K Mohan Kumar
Carcinoid tumors of the appendix are rare in children. They clinically present with features of acute appendicitis and are often diagnosed incidentally on the resected specimens. Local disease carries an excellent prognosis and simple appendicectomy suffices, whereas advanced cases need a right hemicolectomy. Clinicians must be aware of this under reported and rare tumor in chidren. We report a case of appendiceal carcinoid tumor in a 10 year old male child who presented with clinical features of acute appendicitis which was diagnosed on histopathological examination...
March 2016: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27053160/trends-in-the-use-of-medical-imaging-to-diagnose-appendicitis-at-an-academic-medical-center
#12
Michael D Repplinger, Andrew C Weber, Perry J Pickhardt, Victoria P Rajamanickam, James E Svenson, William J Ehlenbach, Ryan P Westergaard, Scott B Reeder, Elizabeth A Jacobs
OBJECTIVE: To quantify the trends in imaging use for the diagnosis of appendicitis. METHODS: A retrospective study covering a 22-year period was conducted at an academic medical center. Patients were identified by International Classification of Diseases-9 diagnosis code for appendicitis. Medical record data extraction of these patients included imaging test used (ultrasound, CT, or MRI), gender, age, and body mass index (BMI). The proportion of patients undergoing each scan was calculated by year...
September 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27050192/the-aetiologies-and-impact-of-fever-in-pregnant-inpatients-in-vientiane-laos
#13
Vilada Chansamouth, Syvilay Thammasack, Rattanaphone Phetsouvanh, Valy Keoluangkot, Catrin E Moore, Stuart D Blacksell, Josee Castonguay-Vanier, Audrey Dubot-Pérès, Jarasporn Tangkhabuanbutra, Narongchai Tongyoo, Phooksavanh Souphaphonh, Onanong Sengvilaipaseuth, Manivanh Vongsouvath, Koukeo Phommasone, Davanh Sengdethka, Amphayvanh Seurbsanith, Scott B Craig, Laura Hermann, Michel Strobel, Paul N Newton
INTRODUCTION: Laos has the highest maternal mortality ratio in mainland Southeast Asia and a high incidence of infectious diseases. Globally, malaria has been the pathogen most intensively investigated in relation to impact on pregnancy, but there has been relatively little research on the aetiology and impact of other diseases. We therefore aimed to determine the causes and impact of fever in pregnant women admitted to two central hospitals in Vientiane City, Lao PDR (Laos). MATERIALS AND METHODS: This hospital-based prospective study was conducted in Mahosot Hospital and the Mother and Child Hospital, Vientiane, between 2006 and 2010, with the aim to recruit 250 consenting pregnant women admitted with tympanic temperature ≥37...
April 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/26996592/early-transition-to-oral-antibiotics-for-treatment-of-perforated-appendicitis-in-pediatric-patients-confirmation-of-the-safety-and-efficacy-of-a-growing-national-trend
#14
Tara J Loux, Gavin A Falk, Cathy A Burnweit, Carmen Ramos, Colin Knight, Leopoldo Malvezzi
PURPOSE: We performed a quality improvement initiative to monitor the change in protocol from purely intravenous therapy for perforated appendicitis to oral antibiotics at discharge once patients could tolerate eating. METHODS: Standardized prospective data were gathered on all children with perforated appendicitis treated under the new oral protocol from January 1 to December 31, 2014. Retrospective data through chart review were gathered on all children treated for perforated appendicitis during 2013...
June 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26922988/acute-isolated-appendicitis-due-to-aspergillus-carneus-in-a-neutropenic-child-with-acute-myeloid-leukemia
#15
Nunzia Decembrino, Marco Zecca, Anna Maria Tortorano, Francesca Mangione, Fabiola Lallitto, Francesca Introzzi, Elena Bergami, Piero Marone, Francesca Tamarozzi, Caterina Cavanna
We describe a case of isolated acute appendicitis due to Aspergillus carneus in a neutropenic child with acute myeloid leukemia (AML) treated according to the AIEOP AML 2002/01 protocol. Despite prophylaxis with acyclovir, ciprofloxacin and fluconazole administered during the neutropenic phase, 16 days after the end of chemotherapy the child developed fever without identified infective foci, which prompted a therapy shift to meropenem and liposomial amphotericin B. After five days of persisting fever he developed ingravescent abdominal lower right quadrant pain...
January 2016: New Microbiologica
https://www.readbyqxmd.com/read/26896964/understanding-parental-refusal-of-permission-for-child-participation-in-surgical-prospective-trials
#16
Katherine W Gonzalez, Obinna O Adibe, Brian G Dalton, Amita A Desai, Susan W Sharp, Shawn D St Peter
PURPOSE: The success of prospective randomized trials relies on voluntary participation, which has been perceived as a barrier for successful trials in children who rely on parental permission. We sought to identify the reasons parents decline child participation to understand potential limitations in the consent process. METHODS: A prospective observational study was conducted in 92 patients asked to participate in prospective randomized trials between 2012 and 2015...
May 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/26890809/sonographically-detected-free-appendicolith-as-a-sign-of-retrocecal-perforated-appendicitis-in-a-2-year-old-child
#17
Jovan Lovrenski, Radoica Jokić, Ivan Varga
Prompt and accurate diagnosis of perforated appendicitis is crucial for proper and timely treatment. The appendix, however, cannot always be identified with sonography (US). We report the case of a 2-year-old child with atypical clinical presentation, and US detection of a free appendicolith as a sign of perforated appendicitis, without visualization of the appendix itself. Laparoscopy revealed a retrocecal, gangrenous, perforated appendix with autoamputation, fibrinopurulent peritonitis, and a free appendicolith within the abdominal fluid...
February 18, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/26862293/omental-infarction-an-unusual-cause-of-right-iliac-fossa-pain-in-children
#18
Laxmikant Gupta, Akshay K Saxena, Kushaljit S Sodhi, Jai K Mahajan, Niranjan Khandelwal
Omental infarction is an uncommon cause of acute abdomen in the pediatric population. We report a case of a 4-year-old male child with right iliac fossa pain. The final diagnosis was made on ultrasound and computed tomography findings. This entity needs to be differentiated from acute conditions like appendicitis, avoiding surgery.
January 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/26625132/antenatal-risk-factors-of-postpartum-depression-at-20-weeks-gestation-in-a-japanese-sample-psychosocial-perspectives-from-a-cohort-study-in-tokyo
#19
Yoshiyuki Tachibana, Tomoe Koizumi, Kenji Takehara, Naoko Kakee, Hiromi Tsujii, Rintaro Mori, Eisuke Inoue, Erika Ota, Keiko Yoshida, Keiko Kasai, Makiko Okuyama, Takahiko Kubo
BACKGROUND: Prevalence of postnatal depression (PND) is high (Western countries, 10-15%; Japan, 17%). PND can cause parenting impairment and affect family health (e.g. child behaviors, cognitive development and physical health). This study aimed to reveal the risk factors of PND during the pregnancy period in a Japanese sample, and to identify the psychosocial risk factors of PND that should be appended to existing obstetric interview sheets. A cohort study with a Japanese sample was conducted...
2015: PloS One
https://www.readbyqxmd.com/read/26623251/appendicitis-presenting-concurrently-with-cecal-arteriovenous-malformation-in-a-child
#20
Sahil P Parikh, Eric Rosenberg, Manuel E Portalatin, Elias Fakhoury, Robert V Madlinger
Acute appendicitis is a commonly diagnosed surgical problem in the pediatric population. Arterio-venous malformations (AVM) of the colonic tract are rarely reported in the pediatric literature. A 13-year old boy who presented with acute appendicitis with concurrent cecal AVM is reported in whom appendectomy was done. Later on radiological investigations AVM was confirmed.
September 2015: APSP Journal of Case Reports
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