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Insoliti sospetti: una diarrea intrattabile da citomegalovirus 一种无法治疗的巨细胞病毒腹泻
Medico e Bambino pagine elettroniche Pub Date : 2023-03-31 DOI: 10.53126/mebxxvim043
Sofia F.G. Colombo, Martina Loiodice, Andrea Biuso, Patrizia Carlucci, V. Fabiano, Elvira Verduci, G. Zuccotti
{"title":"Insoliti sospetti: una diarrea intrattabile da citomegalovirus","authors":"Sofia F.G. Colombo, Martina Loiodice, Andrea Biuso, Patrizia Carlucci, V. Fabiano, Elvira Verduci, G. Zuccotti","doi":"10.53126/mebxxvim043","DOIUrl":"https://doi.org/10.53126/mebxxvim043","url":null,"abstract":"Intractable diarrhoea in infancy is defined as diarrhoea persisting for more than 2 weeks in infants up to 3 months of age and requiring parenteral nutrition. It is often a diagnostic and therapeutic challenge for paediatricians. The following case report suggests that, once the most common diagnoses for this age group have been excluded, a cause of persistent diarrhoea that is usually overlooked and neglected such as cytomegalovirus enterocolitis should be always kept in mind.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122347379","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}
引用次数: 0
Frattura e rachitismo in un’adolescente 青少年骨折和佝偻病
Medico e Bambino pagine elettroniche Pub Date : 2023-03-31 DOI: 10.53126/mebxxvim050
E. Pacenti, Martina Lazzari, Fabrizio Pugliese
{"title":"Frattura e rachitismo in un’adolescente","authors":"E. Pacenti, Martina Lazzari, Fabrizio Pugliese","doi":"10.53126/mebxxvim050","DOIUrl":"https://doi.org/10.53126/mebxxvim050","url":null,"abstract":"The diagnosis of vitamin D deficiency (rickets) was finally made in a 13-year-old Pakistani girl who had fallen victim of bullying and social isolation during lockdown and who presented with multiple osteolytic femoral lesions.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638023","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}
引用次数: 0
Quando l’anemia viene da un’infezione da parvovirus 贫血是由细小病毒感染引起的
Medico e Bambino pagine elettroniche Pub Date : 2023-03-31 DOI: 10.53126/mebxxvim053
Elena Tolomelli, Elena Legnani, A. Grasso
{"title":"Quando l’anemia viene da un’infezione da parvovirus","authors":"Elena Tolomelli, Elena Legnani, A. Grasso","doi":"10.53126/mebxxvim053","DOIUrl":"https://doi.org/10.53126/mebxxvim053","url":null,"abstract":"The author describes the case of a 2-year-old boy presenting with aplastic anaemia due to documented parvovirus infection of the bone marrow without a specific seroconversion.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121633128","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}
引用次数: 0
Terapia breve per la polmonite non complicata acquisita in comunità in età pediatrica: si può fare! 儿科社区获得的非复杂肺炎的短期治疗:这是可以做到的!
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif031
A. Troisi, Alessandra Iacono, F. Marchetti
{"title":"Terapia breve per la polmonite non complicata acquisita in comunità in età pediatrica: si può fare!","authors":"A. Troisi, Alessandra Iacono, F. Marchetti","doi":"10.53126/mebxxvif031","DOIUrl":"https://doi.org/10.53126/mebxxvif031","url":null,"abstract":"The paper reports the results published in the journal JAMA Pediatrics in November 2022 of a systematic review and meta-analysis comparing brief therapy and prolonged therapy for the treatment of non-severe community-acquired pneumonia (CAP) with the same oral antibiotic. The results suggest the non-inferiority of a short versus a long cycle in children aged 2 to 59 months. In addition, short-term antibiotic therapy improves adherence, reduces adverse effects and drug costs, and reduces caregiver work absenteeism. Paediatricians should prescribe 5 days of antibiotic therapy with amoxicillin (90 mg/kg/day in 3 doses) for non-severe CAP, taking into account the results of several randomized clinical trials that are now available.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133415383","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}
引用次数: 0
Quando la tumefazione laterocervicale è una cisti branchiale 当子宫颈肿大是鳃囊肿时
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif040
Silvia Gamba
{"title":"Quando la tumefazione laterocervicale è una cisti branchiale","authors":"Silvia Gamba","doi":"10.53126/mebxxvif040","DOIUrl":"https://doi.org/10.53126/mebxxvif040","url":null,"abstract":"The author describes the case of a 10-year-old boy presenting with a lateral cervical swelling. A branchial cyst was finally diagnosed.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116844541","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}
引用次数: 0
Le bolle che non ti aspetti: un raro caso di pemfigo volgare in età pediatrica 你没有预料到的水泡，这是一个罕见的小儿时代的庸俗的肚子
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif021
Elisabetta Benelli, G. Demarin, Paola Corneli, A. Gatti, S. Martelossi
{"title":"Le bolle che non ti aspetti: un raro caso di pemfigo volgare in età pediatrica","authors":"Elisabetta Benelli, G. Demarin, Paola Corneli, A. Gatti, S. Martelossi","doi":"10.53126/mebxxvif021","DOIUrl":"https://doi.org/10.53126/mebxxvif021","url":null,"abstract":"A healthy 15-year-old boy in full well-being presents with multiple ulcerative lesions with an erosive appearance at the level of the oral cavity and the nasal mucosa. Two months after the onset, vesicular lesions also appear on the skin. As pemphigus vulgaris is suspected, a biopsy of the oral mucosa is performed which shows suprabasal bubbles, which confirms the diagnosis. Direct immuno-fluorescence tests show the presence of IgG against the epidermal substance and immunoserological tests detect anti-desmoglein I and III autoantibodies. Oral steroid therapy is prescribed, showing initial good symptom control. During the decalage, the lesions reappear, associated with significant difficulty in feeding and weight loss. After excluding paraneoplastic forms and other autoimmune pathologies, intravenous steroid therapy and azathioprine are started. At the follow-up after 3 months, a marked improvement of the lesions was observed, with the persistence of only a few skin vesicles. The patient has currently been on therapy for 10 months, with complete remission of the clinical picture. Pemphigus vulgaris is an autoimmune disease, rare in childhood, involving skin and mucous membranes, characterized by intraepidermal blisters with a flaccid roof. Treatment should be prompt and appropriate, using full dose corticosteroids. It is also recommended the concomitant initiation of immunosuppressant therapies to allow the steroid to be phased out. There are rare secondary forms, which must therefore be excluded at the time of diagnosis.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122033472","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}
引用次数: 0
Herpeticum
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif035
M. Bove, Diletta Iannaccone, L. Timpone, Gennaro Iannicelli, M. Falco, G. Ferrara
{"title":"Herpeticum","authors":"M. Bove, Diletta Iannaccone, L. Timpone, Gennaro Iannicelli, M. Falco, G. Ferrara","doi":"10.53126/mebxxvif035","DOIUrl":"https://doi.org/10.53126/mebxxvif035","url":null,"abstract":"The case of a boy affected by atopic dermatitis with retroauricular and palpebral skin eruption is described. A diagnosis of eczema herpeticum with a superposed staphylococcal infection was eventually made.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120953390","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}
引用次数: 0
Vulvodinia
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif037
Laura Morra
{"title":"Vulvodinia","authors":"Laura Morra","doi":"10.53126/mebxxvif037","DOIUrl":"https://doi.org/10.53126/mebxxvif037","url":null,"abstract":"The Author presents the case of a young girl complaining pain in her vulva (vulvodynia). After assessing the anamnestic data and the mother and girl's behaviours, a somatic pain disorder was diagnosed in the contest of Münchhausen-like syndrome. The difficulties in taking care of this kind of patients are discussed.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115672400","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}
引用次数: 0
Le linee di indirizzo della Regione Emilia-Romagna sul ritiro sociale 埃米利亚-罗马尼亚地区关于社会静修的指导方针
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif025
M. Paladino, Monica Malaguti, S. Costa, Chiara Brescianini, M. Corvese, Fiorello Ghiretti, Loretta Rafuzzi, Lauro Menozzi
{"title":"Le linee di indirizzo della Regione Emilia-Romagna sul ritiro sociale","authors":"M. Paladino, Monica Malaguti, S. Costa, Chiara Brescianini, M. Corvese, Fiorello Ghiretti, Loretta Rafuzzi, Lauro Menozzi","doi":"10.53126/mebxxvif025","DOIUrl":"https://doi.org/10.53126/mebxxvif025","url":null,"abstract":"The Emilia-Romagna Region guidelines by a multi-professional Group analyse the psychological, social, educational and health aspects of a very complex phenomenon such as social withdrawal. Today there are important indicators, tools and aspects that enable to trace the map of interventions to be implemented promptly, starting from the first phenomena of avoidance of school attendance to end up with the management at the health services, going through the possible actions at school, educational and social levels and of family counselling.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116887594","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}
引用次数: 0
Una mastite neonatale bilaterale da Staphylococcus aureus meticillino-resistente 双侧新生儿乳腺炎，金黄色甲氧西林耐药
Medico e Bambino pagine elettroniche Pub Date : 2023-02-28 DOI: 10.53126/mebxxvif018
Roberta Barbato, A. Troisi, L. Biserna, Simone Fontijn, A. Ratta, F. Marchetti
{"title":"Una mastite neonatale bilaterale da Staphylococcus aureus meticillino-resistente","authors":"Roberta Barbato, A. Troisi, L. Biserna, Simone Fontijn, A. Ratta, F. Marchetti","doi":"10.53126/mebxxvif018","DOIUrl":"https://doi.org/10.53126/mebxxvif018","url":null,"abstract":"Neonatal mastitis with possible abscess complication is relatively rare. The most common causal agent is Staphylococcus aureus. The paper describes the case of a newborn of 8 days of life, with fever and bilateral mastitis. The newborn was treated with antibiotic therapy with vancomicin and gentamicin and required the right breast surgical drainage for abscess complication. Culture of the pus yielded a pure growth of methicillin-resistant Staphylococcus aureus. The mother of the newborn presented with mastitis that developed a few days earlier. Complications of neonatal mastitis are rare nonetheless cellulitis, fasciitis, osteomyelitis, meningitis, brain abscess and sepsis have been reported. It is therefore essential to treat the mastitis of the newborn promptly and take into consideration the possible resistance of Staphylococcus that is the main etiological agent. Therefore, possible abscess complications need to be treated surgically.","PeriodicalId":198715,"journal":{"name":"Medico e Bambino pagine elettroniche","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124155711","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}
引用次数: 0
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