Chiara Lo Presti, Silvia Dominici, Elisa Barisone, Erika Silvestro, Paola Coppo, Roberta La Selva, Silvia Garazzino, Carlo Scolfaro, Federica Mignone, Giulia Pruccoli
{"title":"Scabbia: presentazione clinica e trattamento","authors":"Chiara Lo Presti, Silvia Dominici, Elisa Barisone, Erika Silvestro, Paola Coppo, Roberta La Selva, Silvia Garazzino, Carlo Scolfaro, Federica Mignone, Giulia Pruccoli","doi":"10.53126/mebxxvin188","DOIUrl":"https://doi.org/10.53126/mebxxvin188","url":null,"abstract":"Scabies is a skin infestation caused by the mite Sarcoptes scabiei variant hominis, an obligate human parasite. The infestation, whose incidence is often underestimated, is widespread with a higher prevalence within the paediatric age, particularly in children under the age of 2. In young children diagnosis can be challenging because of the differences in appearance and location of skin lesions, especially in the neonatal forms. Neonatal scabies has no treatment approved by European guidelines, and the most widely used drug in infants such as permethrin is off-label under 2 months of age. This article describes a case of neonatal scabies. The patient presented with vesicle-crusted erythematous elongated lesions on the trunk and papular lesions in the axillary region, with minor involvement of the upper limbs. Clinical suspect was then confirmed through dermatoscopy. 5% permethrin cream was applied for three consecutive days with a 3-hour exposure time. The treatment was repeated one week after the latest application for two consecutive days and was extended to all family members.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"31 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136226951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Un… due… tre… SBEGA!","authors":"Luca Barbato, Paola Cavicchioli, Cristina Vallongo","doi":"10.53126/mebxxvin185","DOIUrl":"https://doi.org/10.53126/mebxxvin185","url":null,"abstract":"Two clinical cases of invasive Group A Streptococcus infection (iGAS) are reported, with very different and rapid evolution. The two clinical cases described reflect the increasing trend in the pediatric population between 2022 and 2023 of the incidence of scarlet fever and invasive Streptococcus infection in different European countries, the spread of which was facilitated by the lack of exposure during the pandemic period to viral and bacterial infections.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"32 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136226945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Un caso di ipopituitarismo in età infantile","authors":"Marco Guida, Graziella Malizia, Dante Ferrara","doi":"10.53126/mebxxvio146","DOIUrl":"https://doi.org/10.53126/mebxxvio146","url":null,"abstract":"Hypopituitarism is often an evolutionary condition, which if not present at birth with the classic signs of severe hypoglycaemia, prolonged jaundice, bilateral cryptorchidism and / or micropenis and alterations of neurological development, causes a delay in diagnosis with disabling consequences. The paper describes the case of a child of 3 years and 2 months presenting with poor growth and reduction of growth speed. After clinical and laboratory diagnosis, MRI imaging was performed showing the presence of congenital adenohypophyseal hypoplasia that must be followed over time for the possible development of other hormonal deficits.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"9 16","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Una RM encefalo che parla da sola","authors":"Cristina Ferrigno, Claudia Chillemi, Simone Silvestro","doi":"10.53126/mebxxvio163","DOIUrl":"https://doi.org/10.53126/mebxxvio163","url":null,"abstract":"A two-month-old infant was admitted with clonic movements of the limbs. At the brain MRI multiple supra and infratentorial haemorrhagic lesions were present leading to the diagnosis of shaken baby syndrome.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"233 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Genu recurvatum in un caso di ritardo dell’acquisizione del cammino","authors":"Chiara Lo Presti, Lucia Ronco, Irene Tardivo, Margherita Conrieri, Claudia Bondone, Simone Spolaore, Mattia Cravino, Cristina Marinaccio, Federica Ricci","doi":"10.53126/mebxxvio166","DOIUrl":"https://doi.org/10.53126/mebxxvio166","url":null,"abstract":"The diagnosis of type 2 spinal muscular atrophy was finally made in a two-year-old girl presenting with delay of the neuromotor development and genu recurvatum.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"146 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ian Valencic, Mattia Moratti, Francesca Lombardi, Rosa Francavilla, Chiara Ghizzi
{"title":"Una sindrome infiammatoria multisistemica fredda complicata da shock","authors":"Ian Valencic, Mattia Moratti, Francesca Lombardi, Rosa Francavilla, Chiara Ghizzi","doi":"10.53126/mebxxvio151","DOIUrl":"https://doi.org/10.53126/mebxxvio151","url":null,"abstract":"<b>Rationale -</b> In clinical practice there are numerous factors influencing the correct process of diagnosis and treatment, especially in the context of complex clinical cases such as severe and atypical forms of \"multisystem inflammatory syndrome\" (MIS-C): several studies have observed that in the Emergency Department fewer than half of cases of hemodynamic shock are treated according to Paediatric Advanced Life Support (PALS) guidelines.<br> <b>Objectives -</b> To favour the recognition of MIS-C in its atypical form and to provide indications on the correct treatment in the course of its acute complications such as mixed shock (distributive-cardiogenic). <br> <b>Materials and methods -</b> Starting from the analysis of a clinical case, the literature about MIS-C and the management of mixed shock in the Emergency Department was reviewed. The paper describes the case of a patient with atypical MIS-C characterized by multiple organ failure syndrome, highlighting possible interventions of good clinical practice aimed to improve the outcome of patients affected by these disorders.<br> <b>Results -</b> The analysis of the literature and guidelines has allowed new management guidelines for atypical MIS-C syndrome to be produced, in order to obtain a better outcome, despite a highly severe clinical scenario. <br> <b>Conclusions -</b> Although there are no studies on the treatment of MIS-C shock in the literature, in view of the pathogenic continuum between MIS-C and Kawasaki syndrome, the adapted application of the American Heart Association guidelines allows the achievement of a good outcome even in cases of MIS-C with severe presentation.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"9 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Accomando, Melodie O. Aricò, Enrico Valletta
{"title":"Il supporto nutrizionale nell’anoressia nervosa","authors":"Francesco Accomando, Melodie O. Aricò, Enrico Valletta","doi":"10.53126/mebxxvio136","DOIUrl":"https://doi.org/10.53126/mebxxvio136","url":null,"abstract":"Paediatric departments are increasingly faced with adolescents with anorexia nervosa in severe nutritional and metabolic decompensation. Artificial nutritional support, often indispensable in the most critical phases of the course, requires careful evaluation of the clinical conditions at the time of hospitalization and equally punctual monitoring of blood chemistry variables during re-feeding. Prolonged reduced caloric intake and malnutrition, especially in its most extreme forms, can cause damage to various organs and systems and the refeeding syndrome must be kept in mind as a further comorbidity and aggravating factor of the patient's conditions. Through the description of a clinical case of particular complexity, some aspects related to the hospital treatment of anorexia nervosa are discussed.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"102 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Una meningite da scossa","authors":"Francesco Maria Risso","doi":"10.53126/mebxxvio162","DOIUrl":"https://doi.org/10.53126/mebxxvio162","url":null,"abstract":"The case of a 30-day-old newborn presenting with clonic movements and loss of consciousness, initially misdiagnosed as bacterial meningitis, is described. The diagnosis of shaken baby syndrome was finally made.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"185 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mattia Comella, Maria Licciardello, Vito Miraglia, Giovanna Russo
{"title":"Un caso complesso di citopenia trilineare ed epatite gigantocellulare","authors":"Mattia Comella, Maria Licciardello, Vito Miraglia, Giovanna Russo","doi":"10.53126/mebxxvio165","DOIUrl":"https://doi.org/10.53126/mebxxvio165","url":null,"abstract":"The case of a five-year-old boy presenting with autoimmune anaemia, neutropenia and thrombocytopenia associated to giant cell hepatitis is described. The diagnosis of ALPS-like syndrome was eventually made.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"351 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giulia Nuzzi, Lorenzo Riboldi, Andrea Pietravalle, Giovanni Putoto
{"title":"Le parassitosi intestinali","authors":"Giulia Nuzzi, Lorenzo Riboldi, Andrea Pietravalle, Giovanni Putoto","doi":"10.53126/mebxxvio157","DOIUrl":"https://doi.org/10.53126/mebxxvio157","url":null,"abstract":"Parasitic infections are still a major public health problem in developing countries. The paper presents the case of an 18-month-old girl taken by her mother to the paediatrics department of St. Luke’s Hospital in Wolisso, Ethiopia for general malaise, fever, asthenia and pallor for several days. On suspicion of anaemia, a hemochromocytometric examination was carried out, which showed severe microcytic anaemia, so it was decided to proceed with a whole blood transfusion, after a smear test for malaria parasites. Following a negative test for malaria, it was decided to proceed with a fresh microscopic examination of the faeces, which proved positive for hookworm eggs. Therapy with albendazole was then prescribed, at a dose of 200 mg per os as a single dose, with improvement in the clinical picture. This case underlines the importance of considering hookworm infection as a possible cause of severe anaemia, especially in areas where malaria is not endemic. It is essential to engage in hookworm infection control through preventive measures, such as hygiene, anti-parasite therapy and health education, to reduce the burden of disease in populations at risk. Moreover, a summary review of the main intestinal parasites is reported.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"9 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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