V. Evasi, Eugenia Mariani, Simone Roncareggi, Martina Paredi, Nicola Valsecchi
{"title":"Paralisi periferica bilateale del VII nervo cranico da infezione da virus di Epstein-Barr","authors":"V. Evasi, Eugenia Mariani, Simone Roncareggi, Martina Paredi, Nicola Valsecchi","doi":"10.53126/mebxxvimg209","DOIUrl":"https://doi.org/10.53126/mebxxvimg209","url":null,"abstract":"Following a primary Epstein-Barr virus infection, a 4- years-old boy develops bilateral peripheral VII cranial nerve palsy. Ruled out the other bilateral facial palsy’s causes (first of all borreliosis), the cause of the paralysis is recognized in the Epstein-Barr virus infection. We start a steroid therapy associated with physiotherapy treatment for functional rehabilitation. Bilateral peripheral facial palsy is a rare condition. Un- like unilateral palsy, which is idiopathic in about half of the cases, bilateral palsy is idiopathic in only 20% of cas- es. Both in the case of unilateral and bilateral involve- ment, Borrelia burgdorferi infection stands out among the recognized causes in first place. Another bilateral facial palsy’s cause is Epstein-Barr virus infection, because of its important neurotropism, which causes palsy with a still unclear mechanism. About 2 months after the onset of neurological symptoms our boy is gradually recovering facial nerve functions.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139315536","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}
Agnese Menghi, Alessia Bellotto, Agnese Maria Addeo, F. Marchetti
{"title":"La linea dei sintomi in un disturbo da sintomi somatici","authors":"Agnese Menghi, Alessia Bellotto, Agnese Maria Addeo, F. Marchetti","doi":"10.53126/mebxxvis132","DOIUrl":"https://doi.org/10.53126/mebxxvis132","url":null,"abstract":"The case of a 10-year-old boy affected by somatic disorder syndrome is presented. The graphic representation of symptoms and adverse events together with a timeline helped the mother to interpret her child’s disorder and to manage fears and anxieties.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129378296","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}
G. Canali, Vittoria Garella, Silvia Taranto, Sara L'Assainato, V. Calcaterra, G. Zuccotti
{"title":"Disfunzioni tiroidee mascherate all’interno dei range di normalità","authors":"G. Canali, Vittoria Garella, Silvia Taranto, Sara L'Assainato, V. Calcaterra, G. Zuccotti","doi":"10.53126/mebxxvis125","DOIUrl":"https://doi.org/10.53126/mebxxvis125","url":null,"abstract":"Thyroid function plays a crucial role in metabolic homeostasis, in the regulation of blood pressure, energy expenditure and in glucose and lipid metabolism. Thyroid alteration patterns, particularly hypothyroidism, are widely known to be associated with metabolic syndrome. However, more recently, different thyroid hormone release patterns have shown not to fit within the classic definitions of hypothyroidism or hyperthyroidism, patterns in which hormone levels may often be within the normal range. A condition defined as thyroid hormone resistance syndrome has been identified as a state characterized by thyroid hormones within the upper limits of the normal range but with normal to high TSH levels. In fact, many studies have shown an association between this condition and pathologies such as obesity, metabolic syndrome, diabetes and NAFLD. Recent studies have hypothesized that thyroid hormone resistance might be present in patients with disabilities, therefore they also investigated whether and how all those conditions may influence one another. Furthermore, given the important role that TSH and thyroid hormones play in the development of various diseases, and the consequent implications for the health system, the creation of reliable algorithms that support the interpretation of thyroid homeostasis in the clinical setting is therefore pivotal.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128045835","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 bambino che ha messo la sesta","authors":"M. Bagni","doi":"10.53126/mebxxvis130","DOIUrl":"https://doi.org/10.53126/mebxxvis130","url":null,"abstract":"The case of a 3-month-old infant presenting with fever, rash and hyporeactivity is described. A diagnosis of left parapharyngeal abscess as one of the complications of HHV-6 infection was finally made.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130204456","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}
Marco Scaglione, Agnese Repetto, Mohamad Maghnie, Michele Di Vito, Marco Aicardi, Nadia Fratangeli
{"title":"Dermatofitosi diffusa con kerion","authors":"Marco Scaglione, Agnese Repetto, Mohamad Maghnie, Michele Di Vito, Marco Aicardi, Nadia Fratangeli","doi":"10.53126/mebxxvis119","DOIUrl":"https://doi.org/10.53126/mebxxvis119","url":null,"abstract":"Tinea capitis is the most common scalp dermatophytosis and is, along with tinea corporis, one of the major skin mycoses in paediatric age. This condition is usually noninvasive and treatable with oral antifungal therapy combined with topical remedies. The paper reports the case of a 7-year-old immunocompetent boy who developed scalp kerion (an inflammatory complication of tinea capitis) and tinea corporis, despite home antifungal therapy. The purpose of this work is to provide guidance for treating cutaneous fungal infections that are resistant to standard therapies prescribed in outpatient clinics. Due to the lack of response to oral therapy, the patient was hospitalized to perform intravenous therapy. Intravenous fluconazole therapy in combination with oral amoxicillin/clavulanic acid was administered. Culture test for mycetes, performed on skin swab, resulted negative. Due to the progressive improvement of the skin lesions, a switch to oral fluconazole was made after 1 week; after 10 days, antibiotic therapy was discontinued. At the end of 14 total days of antifungal therapy, due to the almost complete resolution of kerion with normalization of inflammatory markers, the patient was discharged. After further 3 weeks of treatment with oral fluconazole, the skin lesions completely resolved. The case suggests that a switch from oral to intravenous therapy may be useful in cases of dermatophytoses resistant to empirical therapy. In these cases, the administration of higher dosages of systemic antifungals than those normally used for skin infections, reaching the dosage normally used for candidiasis and other invasive fungal infections, may be effective. The therapy should be prolonged for several weeks (at least one month) and the early combination with antibiotic therapy is essential in cases of bacterial overinfection.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130624746","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":"Allarme rosso: il sanguinamento rettale","authors":"Daniele Fracas, Grazia Di Leo","doi":"10.53126/mebxxvis135","DOIUrl":"https://doi.org/10.53126/mebxxvis135","url":null,"abstract":"A 6-week-old, exclusively breastfed and well-appearing infant presented with blood in her stools. A diagnosis of food protein-induced allergic proctocolitis was promptly made by the presence of the high number of eosinophils in her blood and the prompt clinical response to the elimination of cow milk proteins from her mother's diet.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"37 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136247906","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":"Allarme rosso: il sanguinamento rettale","authors":"Daniele Fracas, Grazia Di Leo","doi":"10.53126/mebxxvis134","DOIUrl":"https://doi.org/10.53126/mebxxvis134","url":null,"abstract":"A 6-week-old, exclusively breastfed and well-appearing infant presented with blood in her stools. A diagnosis of food protein-induced allergic proctocolitis was promptly made by the presence of the high number of eosinophils in her blood and the prompt clinical response to the elimination of cow milk proteins from her mother's diet.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126394160","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":"La riforma europea della legislazione farmaceutica","authors":"F. Marchetti, A. Addis","doi":"10.53126/mebxxvis113","DOIUrl":"https://doi.org/10.53126/mebxxvis113","url":null,"abstract":"The European reform of pharmaceutical legislation: more available, more affordable and more innovative medicines: dream or reality?","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127995466","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}
Daniele Franzone, Benedetta Chianucci, L. Basso, Daniela Guardo, Tommaso Bellini, E. Piccotti
{"title":"Lesioni ossee simmetriche e drepanocitosi","authors":"Daniele Franzone, Benedetta Chianucci, L. Basso, Daniela Guardo, Tommaso Bellini, E. Piccotti","doi":"10.53126/mebxxvig100","DOIUrl":"https://doi.org/10.53126/mebxxvig100","url":null,"abstract":"An 8-year-old boy suffering from sickle cell disease (SCD) was admitted to emergency unit complaining of moderate-to-severe pain in his lower limbs. He received chronic transfusion therapy and hydroxyurea. Apparently, he had never experienced vaso-occlusive crises (VOC) before. At presentation he suffered pain in his left lower limb with mild functional limitation. Standard radiography was negative. Blood tests were consistent with chronic haemolytic anaemia, normal blood cell count and slight increase in inflammation markers. Blood cultures were negative. In the suspicion of a VOC, hydration and antalgic therapy with intravenous acetaminophen and ibuprofen were administered. Due to a poor clinical response, lower limbs MRI was performed and, interestingly, it revealed bilateral symmetrical tibial bone infarctions and analgesics were switched to tramadol in continuous infusion resulting in good pain control. He was discharged after nine days of hospitalization with complete remission of symptoms. SCD is a spectrum of hereditary haemoglobinopathies identified by abnormal haemoglobin S (HbS) molecule. Painful crisis are the most frequent complications and VOCs virtually affect every patient with SCD. MRI can be useful to identify skeletal abnormalities, even in the pain free period and to distinguish acute infarction from acute osteomyelitis. When available, all SCD patients suffering from significant acute bone pain should undergo an MRI study of the painful region as the initial imaging investigation because, even in patients who have never experienced VOCs, there may already be bone lesions at the first painful crisis.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121631242","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}
Bianca Paoletti, S. Sollai, S. Mirri, Paola Pelosi, Alice Brambilla, Roberta Cupone, R. Bini, C. Cocchi, Francesca Mori, G. Ferrara, G. Mirri
{"title":"Non c’è due senza DRESS","authors":"Bianca Paoletti, S. Sollai, S. Mirri, Paola Pelosi, Alice Brambilla, Roberta Cupone, R. Bini, C. Cocchi, Francesca Mori, G. Ferrara, G. Mirri","doi":"10.53126/mebxxvig102","DOIUrl":"https://doi.org/10.53126/mebxxvig102","url":null,"abstract":"A diagnosis of DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) was finally made in a 15-year-old epileptic boy with itching maculopapular rash and high blood eosinophil count.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122442352","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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