Paediatrics and International Child Health最新文献_第2页

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

IF 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2026-05-01 Epub 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

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 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2026-05-01 Epub 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":"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":"17-23"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","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

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 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2026-05-01 Epub 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":"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":"29-33"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","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 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 1.6 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 1.6 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 1.6 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":1.6,"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 1.6 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":1.6,"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

Blood that was far from red: hypertriglyceridaema thalassaemia syndrome: case report. 远离红色的血液：高甘油三酯肿地中海贫血综合征1例报告。

IF 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-11-25 DOI: 10.1080/20469047.2025.2583690

Pankhudi Priya, Irene M Mathews, Ranjini Srinivasan, Anand Prakash

引用次数: 0

Post-neonatal tetanus in Abeokuta, south-western Nigeria. 尼日利亚西南部阿贝奥库塔的新生儿破伤风。

IF 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-08-21 DOI: 10.1080/20469047.2025.2544097

Iyabode Olabisi Florence Dedeke, Morufat Mojisola Ogundeyi, Gregory Olawole Arifalo, Omosalewa Adetutu Oyewole, Oluwaseun Emmanuel Alaba, Oluwatosin Helen Adisa, Sophia Bukola Ishola

{"title":"Post-neonatal tetanus in Abeokuta, south-western Nigeria.","authors":"Iyabode Olabisi Florence Dedeke, Morufat Mojisola Ogundeyi, Gregory Olawole Arifalo, Omosalewa Adetutu Oyewole, Oluwaseun Emmanuel Alaba, Oluwatosin Helen Adisa, Sophia Bukola Ishola","doi":"10.1080/20469047.2025.2544097","DOIUrl":"10.1080/20469047.2025.2544097","url":null,"abstract":"Objectives: To describe the socio-demographic and clinical characteristics, treatment outcome and predictors of mortality in patients under 18 years of age with post-neonatal tetanus (PNT) in Abeokuta.Methods: This retrospective study of 108 PNT cases admitted over a 10-year period between July 2012 and June 2022 was undertaken at two major referral hospitals in Abeokuta, Nigeria. Data on patient demographics, vaccination history, clinical features, management and outcome were analysed.Results: PNT accounted for 0.82% of paediatric admissions during the study period. The median age was 9.0 years, with a slight male predominance (male-to-female ratio 1.1:1). None of the children under-5 were fully vaccinated; only 5.4% of older children received post-exposure prophylaxis. The lower limb was the most common site of injury. The incubation period ranged from 1 to 60 days with a median (IQR) of 8.0 (9.0) days. The case fatality rate was 18.52%. Mortality was significantly associated with lower limb wounds, rapid onset of spasms (<24 h) and the presence of autonomic dysfunction.Conclusion: The burden of PNT in Abeokuta is considerable, driven by low vaccination coverage and delayed wound care. Prompt immunisation, early wound management and improved access to critical care are essential to reduce mortality.","PeriodicalId":19731,"journal":{"name":"Paediatrics and International Child Health","volume":" ","pages":"51-59"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963975","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

Acute acalculous cholecystitis is a rare presentation of Kawasaki disease: a case report. 急性无结石性胆囊炎是川崎病罕见的表现：1例报告。

IF 1.6 4区医学

Paediatrics and International Child Health Pub Date : 2025-09-01 Epub Date: 2025-10-01 DOI: 10.1080/20469047.2025.2568793

Hatice Yılmaz Dağli, Reha Artan, Aygen Yilmaz

引用次数: 0