Paediatrics and International Child Health最新文献

Umbilical cord myiasis in a preterm neonate: a rare sepsis aetiology uncovered by root cause analysis - case report. 脐带病在早产新生儿：一个罕见的败血症病原学发现的根本原因分析-病例报告。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2026-03-10 DOI: 10.1080/20469047.2026.2642442

Anitha Kommalur, Diya Hameed, Vasanthi Anjanappa, H S Rakshitha, H R Archit, Sahana Devadas, Srinivas Krishna Jois, Radhika Chetan, Sneha Angadi, Asima Banu

{"title":"Umbilical cord myiasis in a preterm neonate: a rare sepsis aetiology uncovered by root cause analysis - case report.","authors":"Anitha Kommalur, Diya Hameed, Vasanthi Anjanappa, H S Rakshitha, H R Archit, Sahana Devadas, Srinivas Krishna Jois, Radhika Chetan, Sneha Angadi, Asima Banu","doi":"10.1080/20469047.2026.2642442","DOIUrl":"https://doi.org/10.1080/20469047.2026.2642442","url":null,"abstract":"Myiasis is the infestation of living human or animal tissue by fly larvae and is most common in wounds, body orifices or necrotic tissue in tropical and subtropical regions where hygiene is poor. Of the various forms of human myiasis, umbilical cord myiasis is exceedingly rare, with most reported cases occurring after the 5th day of life in infants cared for at home. A preterm neonate born at 30 weeks gestation developed umbilical cord myiasis with early-onset sepsis by 36 hours of life in a neonatal intensive care unit. This is one of the earliest and rarest presentations to be reported. Live larvae discovered on a necrotic umbilical cord stump were removed mechanically, and empirical anti-staphylococcal therapy was initiated; subsequent blood cultures confirmed multidrug-resistant Staphylococcus haemolyticus, and the infant recovered with targeted therapy. A structured root-cause analysis was carried out using chart review, staff interviews, and observation of delivery and cord-care practices, while an institutional audit examined maternal hygiene on admission, instrument sterilisation, and family participation in care. These processes identified modifiable gaps, and corrective measures were implemented to reinforce asepsis, educate caregivers, and standardise cord monitoring. This case underscores the importance of root-cause analysis in identifying rare aetiologies of sepsis and in recognising modifiable risks.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147390616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare cause of massive haemoptysis in an adolescent. 青少年大量咯血的罕见病因。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2026-02-07 DOI: 10.1080/20469047.2026.2626105

Tanya Saxena, Irene Rose A, Sai Kanth Reddy, Ranjini Srinivasan

引用次数: 0

Tuberculosis presenting as an anterior chest wall swelling: three cases. 肺结核表现为前胸壁肿胀：3例。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2026-01-19 DOI: 10.1080/20469047.2025.2609057

Avanti Saoji, Nikita Shah, Husrav Sadri, Yashwant Gabhale, Radha Ghildiyal

引用次数: 0

Successful perinatal management of a large placental chorio-angioma: a case report demonstrating the effectiveness of a public-private partnership model. 成功围产期管理大胎盘绒毛膜血管瘤：一个案例报告证明了公私合作模式的有效性。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2026-01-19 DOI: 10.1080/20469047.2025.2609525

Anitha Kommalur, Dhanalakshmi Ramalingam, Niharika Manjunath, Priti Venkatesh, Sadvini Bidaremane Junjappa, Sahana Devadas, B Dakshayani, Raksha M, Savitha Chandraiah, Siddiq Mukkamil Ahmed

{"title":"Successful perinatal management of a large placental chorio-angioma: a case report demonstrating the effectiveness of a public-private partnership model.","authors":"Anitha Kommalur, Dhanalakshmi Ramalingam, Niharika Manjunath, Priti Venkatesh, Sadvini Bidaremane Junjappa, Sahana Devadas, B Dakshayani, Raksha M, Savitha Chandraiah, Siddiq Mukkamil Ahmed","doi":"10.1080/20469047.2025.2609525","DOIUrl":"https://doi.org/10.1080/20469047.2025.2609525","url":null,"abstract":"Placental chorio-angiomas are rare benign vascular tumours of the placenta which are usually small and clinically insignificant, but large lesions can cause serious fetal complications such as anaemia, hydrops fetalis and an adverse perinatal outcome. We report the case of a 29-year-old multigravida diagnosed at 28 weeks' gestation with a large placental chorioangioma accompanied by sonographic evidence of fetal anaemia and hydrops fetalis. Despite two intra-uterine transfusions which led to partial improvement, the hydrops persisted, necessitating a preterm caesarean delivery at 31 weeks. The newborn required prolonged neonatal intensive care for respiratory distress, hydrops, thrombocytopenia and bronchopulmonary dysplasia, but there was satisfactory growth and neurodevelopment at 12 months of age. This case highlights the importance of early diagnosis and timely, individualised fetal therapy in managing large chorio-angiomas, and underscores how coordinated care through public-private partnership in a resource-limited setting can support effective continuity of antenatal and neonatal management, leading to a favourable perinatal outcome.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent pulmonary tuberculosis in a child with primary ciliary dyskinesia: a rare association. 复发肺结核儿童原发性纤毛运动障碍：罕见的关联。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2026-01-06 DOI: 10.1080/20469047.2025.2606436

Dhruv Gandhi, Reepa Agrawal, Zahabiya Nalwalla, Avantika Chauhan, Parmarth Chandane, Ira Shah

{"title":"Recurrent pulmonary tuberculosis in a child with primary ciliary dyskinesia: a rare association.","authors":"Dhruv Gandhi, Reepa Agrawal, Zahabiya Nalwalla, Avantika Chauhan, Parmarth Chandane, Ira Shah","doi":"10.1080/20469047.2025.2606436","DOIUrl":"https://doi.org/10.1080/20469047.2025.2606436","url":null,"abstract":"Primary ciliary dyskinesia (PCD) is a rare genetic disorder characterised by defective ciliary motility, resulting in chronic pulmonary infections and bronchiectasis. An 8-year-old boy with recurrent pulmonary tuberculosis (PTB) and newly diagnosed PCD by whole exome sequencing (WES) is reported. He presented with a chronic cough, intermittent fever, night sweats and weight loss, 3 months after completing a 6-month first-line antituberculosis therapy (ATT) regimen for drug-sensitive PTB. High-resolution computerised tomography showed bronchiectatic changes and chronic suppurative lung disease. Broncho-alveolar lavage fluid was tested on Xpert MTB/Rif Ultra and detected rifampicin-sensitive Mycobacterium tuberculosis. In view of the bronchiectasis and chronic suppurative lung disease, WES was undertaken which identified a PCD variant of unknown significance. The Primary Ciliary Dyskinesia Rule (PICADAR) score was calculated to be 8. He was diagnosed with PCD and a relapse of drug-sensitive PTB, for which first-line ATT was resumed. In view of possible syndromic conditions such as PCD, this case highlights the need for clinical suspicion and genetic testing in paediatric patients with recurrent pulmonary TB and bronchiectasis.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"1-4"},"PeriodicalIF":1.2,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exchange transfusion for hyperleucocytosis in a critical case of pertussis. 换血治疗高白细胞血症的百日咳危重病例。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2025-12-04 DOI: 10.1080/20469047.2025.2595836

Nihal Akçay, Demet Tosun, İlyas Bingöl

引用次数: 0

A rare manifestation of Henoch-Schoenlein purpura: haemoptysis secondary to pulmonary involvement - a case report. 过敏性紫癜的罕见表现：继发于肺部受累的咯血1例。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-08-26 DOI: 10.1080/20469047.2025.2550046

Gülşah Kılbaş, Semra Ayduran, Saadet Nilay Tığrak, Selçuk Yüksel, Serkan Türkuçar

引用次数: 0

Acquired syphilis in a 3-year-old boy: a case report. 3岁男童获得性梅毒1例报告。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-10-29 DOI: 10.1080/20469047.2025.2580798

Changxia Li, Yi Xu, Shiyang Li, Xiaohua Tao

引用次数: 0

Concomitant Dengue fever and Kawasaki disease in an infant: case report and review of the literature. 婴儿并发登革热和川崎病1例：病例报告和文献复习。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-09-29 DOI: 10.1080/20469047.2025.2561344

Chaitra Govardhan, Bindu Narayanaswamy, Poornima Ragavaiah Naidu, Fulton D'Souza

{"title":"Concomitant Dengue fever and Kawasaki disease in an infant: case report and review of the literature.","authors":"Chaitra Govardhan, Bindu Narayanaswamy, Poornima Ragavaiah Naidu, Fulton D'Souza","doi":"10.1080/20469047.2025.2561344","DOIUrl":"10.1080/20469047.2025.2561344","url":null,"abstract":"Kawasaki disease is a common childhood vasculitis of unknown aetiology, with infectious triggers often proposed. The association of Kawasaki disease with Dengue is rare. It often poses a diagnostic challenge owing to the close overlap of clinical features and a lack of diagnostic tests for Kawasaki disease. Concominant Dengue fever and Kawasaki disease in a 7-month-old boy is reported, and the possible association between the two conditions is considered. He presented with an acute febrile illness and was diagnosed with Dengue fever based on positive serology. Despite standard management for Dengue, he remained febrile and developed features suggestive of incomplete Kawasaki disease. Echocardiogram demonstrated a small coronary artery aneurysm. There was a dramatic response to intravenous immunoglobulin and aspirin. Follow-up at 6 weeks showed complete resolution of the aneurysm without residual cardiac sequelae. Kawasaki disease should be considered in children with Dengue who have persistent fever or evolving clinical features. Prompt recognition and treatment are essential to prevent coronary artery complications. The rare co-existence of Dengue and Kawasaki disease raises the question of whether this is a mere association or a potential trigger, highlighting an area for future research.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"60-64"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe pneumonia with Mycoplasma pneumoniae-induced raѕh and mucositis in an 8-year-old boy. 1例8岁男童重症肺炎伴肺炎支原体引起的腹泻和粘膜炎。

IF 1.2 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-11-05 DOI: 10.1080/20469047.2025.2583688

Nursel Atay Ünal, Meltem Polat, Tuğba Bedir Demirdağ, Anıl Tapısız

{"title":"Severe pneumonia with Mycoplasma pneumoniae-induced raѕh and mucositis in an 8-year-old boy.","authors":"Nursel Atay Ünal, Meltem Polat, Tuğba Bedir Demirdağ, Anıl Tapısız","doi":"10.1080/20469047.2025.2583688","DOIUrl":"10.1080/20469047.2025.2583688","url":null,"abstract":"Mycoplasma pneumoniae is a common cause of community-acquired pneumonia (CAP) in children. While M. pneumoniae infection is typically mild and self-limiting, individuals of all ages may develop severe CAP or extrapulmonary manifestations such as M. pneumoniae-induced rash and mucositis (MIRM). Severe M. pneumoniae pneumonia with concurrent MIRM in an 8-year-old boy is reported. The clinical course was complicated by persistent fever, severe mucositis and bilateral multi-lobar pneumonia requiring advanced respiratory support. Initial antibiotic and supportive therapy yielded little improvement, but the introduction of corticosteroids resulted in marked clinical improvement of both the pneumonia and mucositis. This case emphasises that MIRM may indicate a more severe course of M. pneumoniae infection, and that early corticosteroid therapy could be beneficial in such cases.Abbreviations: CAP: community-acquired pneumonia; CRP: C-reactive protein; EM: erythema multiforme; HFNC: high-flow nasal cannula; MIRM: Mycoplasma pneumoniae-induced rash and mucositis; PCR: polymerase chain reaction; RIME: reactive infectious mucocutaneous eruption; SJS: Stevens-Johnson syndrome; TEN: toxic epidermal necrolysis; MIRM: Mycoplasma pneumonia-induced.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"69-72"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0