Pediatric Oncall最新文献_第9页

Chronic Constipation Enhances Urinary Tract Infection in Children: Experiences in a Tertiary Care Hospital Outpatient Department 慢性便秘增加儿童尿路感染:三级医院门诊的经验

Pediatric Oncall Pub Date : 2021-06-05 DOI: 10.7199/PED.ONCALL.2021.26

Amrita Lal Halder, M. Pervez, Shareen Khan

{"title":"Chronic Constipation Enhances Urinary Tract Infection in Children: Experiences in a Tertiary Care Hospital Outpatient Department","authors":"Amrita Lal Halder, M. Pervez, Shareen Khan","doi":"10.7199/PED.ONCALL.2021.26","DOIUrl":"https://doi.org/10.7199/PED.ONCALL.2021.26","url":null,"abstract":"Background: Constipation and urinary tract infection (UTI) are two common pediatric problems. Chronic constipation is thought to enhance the occurrence of childhood UTI. So, prevention and treatment of constipation will reduce UTI and its complications such as renal scarring, hypertension and chronic renal failure. This study was conducted to find out the impact of chronic constipation on UTI in children. Methods: This case-control study was done from August 2017 to December 2019 in the general pediatrics and pediatric surgery outpatient department (OPD) of a tertiary care children’s hospital in Dhaka, Bangladesh. It was conducted on 164 children aged 1-15 years of which 82 constipated children who met Rome III criteria for chronic constipation were taken as case group and 82 non-constipated children as control group. Children having congenital urinary or anorectal anomalies detected by clinical examination and urogenital ultrasonogram (USG) were excluded from the study. Urine routine microscopic examination (RME) and culture-sensitivity (CS) were done for all patients. Growth of a single species of organism with colony count of >105/ml or colony counts 104/ml with pyuria (pus cells >5/HPF) in the symptomatic child was considered as UTI. Results: UTI was detected in 27 (32.9%) constipated children and in 9 (10.9%) non-constipated children (p=0.0007). Within one month after proper treatment, 29 children underwent voiding cystourethrogram (VCUG); 24 in case group and 5 in control group. VUR was found in total 10 (34.5%) children; 9 (37.5%) in case group and 1 (20%) in control group (p=0.45). Conclusion: Chronic constipation has significant impact on occurrence of UTI in children. So early and effective preventive measures and treatment for constipation will be useful to reduce occurrence of UT","PeriodicalId":19949,"journal":{"name":"Pediatric Oncall","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84457778","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

Prevalence and Profile of Vitamin D in Infants 婴儿维生素D的流行和概况

Pediatric Oncall Pub Date : 2021-06-01 DOI: 10.7199/ped.oncall.2021.39

Rachana Gedam Wagmare, D. Tolani

引用次数: 0

Risk Factors of Perinatal Asphyxia and Neonatal Outcome 围产期窒息和新生儿结局的危险因素

Pediatric Oncall Pub Date : 2021-05-25 DOI: 10.7199/ped.oncall.2021.45

A. Chiabi, Walter Dobgima Pisoh, Flavila Tchoupou Tsayim, M. Samje, Evelin Feuldi, Frida Sunjo, D. K. Tague, Denis Nsame Nforniwe

引用次数: 1

Ataxia-Telangiectasia in Cameroonian Children 喀麦隆儿童共济失调-毛细血管扩张症

Pediatric Oncall Pub Date : 2021-04-19 DOI: 10.7199/PED.ONCALL.2021.25

D. Enyama, C. A. N. Kana, J. Kouam, D. N. Njinkui, F. K. Lekpa, P. Mbonda, D. C. Kedy, E. Mbonda, S. Nguefack

{"title":"Ataxia-Telangiectasia in Cameroonian Children","authors":"D. Enyama, C. A. N. Kana, J. Kouam, D. N. Njinkui, F. K. Lekpa, P. Mbonda, D. C. Kedy, E. Mbonda, S. Nguefack","doi":"10.7199/PED.ONCALL.2021.25","DOIUrl":"https://doi.org/10.7199/PED.ONCALL.2021.25","url":null,"abstract":"Background: Ataxia-Telangiectasia (A-T) is a rare genetic disease characterized by progressive ataxia and multisystem involvement, which requires early diagnosis and multidisciplinary management. Methods: We report a series of seven patients with A-T. This is a retrospective study conducted from 2016 to 2020, in patients with a history of progressive cerebellar ataxia and ocular telangiectasia on physical examination as well as elevated serum alpha-fetoprotein. Data were collected from the medical records of the patients. Results: There were three boys and four girls. The mean age at onset of symptoms was 36.4 months (range 12 to 72 months) and the mean age at diagnosis was 84 months (range 60 to 144 months). Family history of A-T was noted in 3 patients. There was no parental consanguinity in any patient. Ataxia was the first sign of the disease and the reason for consultation in all patients. Cerebellar ataxia and ocular telangiectasia were seen in all patients. Malnutrition was present in 6 (85.7%) patients, dysarthria was observed in 3 (42.8%) patients, intention tremors in 2 (28.6%) patients, dystonia and epilepsy in 1 (14.3%) patient each. Recurrent infections with repeated hospitalizations was present in 1 (14.3%) patient. Elevated serum alpha-fetoprotein level was seen in all patients with a mean level of 311.39 ng/ml (range from 113 ng/ml to 911.6 ng/ml). Four (57%) patients underwent brain imaging which showed cerebellar atrophy in three of them. Genetic testing for A-T was not done in any patient due to unavailability. All these patients were still alive when we submitted this paper. A motor deficiency worsening was observed in 2 patients, who currently use a wheelchair since the age of 6 and 7 years old, respectively. Conclusion","PeriodicalId":19949,"journal":{"name":"Pediatric Oncall","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80427691","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

Serologic Rebound in Congenital Toxoplasmosis 先天性弓形体病的血清学反弹

Pediatric Oncall Pub Date : 2021-03-04 DOI: 10.7199/PED.ONCALL.2021.20

B. Vala, V. Martins, J. Agro

引用次数: 0

Acute encephalopathy: What to suspect and how to prevent? 急性脑病:应该怀疑什么，如何预防?

Pediatric Oncall Pub Date : 2021-02-20 DOI: 10.7199/PED.ONCALL.2021.12

A. Shrivastava, V. Gupta, Vanita Verma, R. Yadav, M. Singh

引用次数: 0

New Pathogenic Mutations on GLDC gene leading to Classic Nonketotic Hyperglycinemia GLDC基因新的致病突变导致经典非酮症性高血糖症

Pediatric Oncall Pub Date : 2021-02-02 DOI: 10.7199/PED.ONCALL.2021.50

Teresa Almeida, A. Forno, Luís Rodrigues, R. Jotta, A. L. Rodrigues, P. Janeiro, S. Mexia, Anabela Guerra, José Matono, I. T. Almeida, A. Gaspar

引用次数: 0

A Rare Case of Omphalocele, Exstrophy of Bladder, Imperforate Anus and Spinal Defect Complex with Genital Anomalies in a Term Neonate 足月新生儿脐膨出、膀胱外翻、肛门闭锁及脊柱缺损合并生殖器官异常一例

Pediatric Oncall Pub Date : 2021-01-31 DOI: 10.7199/PED.ONCALL.2021.32

D. Ambike, A. Byale, Rijwana Sayyad, Vinit Rathod, Komal Bijarniya

{"title":"A Rare Case of Omphalocele, Exstrophy of Bladder, Imperforate Anus and Spinal Defect Complex with Genital Anomalies in a Term Neonate","authors":"D. Ambike, A. Byale, Rijwana Sayyad, Vinit Rathod, Komal Bijarniya","doi":"10.7199/PED.ONCALL.2021.32","DOIUrl":"https://doi.org/10.7199/PED.ONCALL.2021.32","url":null,"abstract":"A 22-year-old pregnant female presented at 39.1 weeks of gestation in third stage of labour with hand prolapse to our emergency department. She immediately underwent emergency lower segment caesarean section (LSCS). There was no significant antenatal history of exposure to teratogenic drugs or radiation, infection, diabetes mellitus or hypertension. There was no history of treatment for infertility. No antenatal registration or antenatal scan was done. She delivered a live baby weighing 2.8 kg with head circumference of 34.5cm, who had multiple congenital abnormalities. There was no history of consanguinity or similar malformations in previous deliveries. There was presence of omphalocele, exstrophy of bladder, imperforate anus, and genital anomalies (Figure 1 and 2) along with bilateral congenital talipes equinovarus (CTEV) and lumbosacral meningocele. X-ray thoracolumbar spine lateral view showed lumbosacral meningocele. Diagnosis of OEIS complex was made. Ultrasound (USG) of the abdomen and pelvis confirmed OEIS but the gender could not be evaluated due to obscure genital organs. Chromosomal analysis could not be done as the parents financial status did not permit for any future work up and intervention. The neonate died on day 5 of life. OEIS complex is a severe form of exstrophy-epispadias complex which results from improper closure of ventral abdominal wall due to failure of cephalocaudal and lateral folding with associated defects of cloaca and urorectal septum.1 The term OEIS complex was proposed to describe findings by Carey et al based on a retrospective search of medical records of 175 ARTICLE HISTORY Received 3 November 2020 Accepted 31 January 2021","PeriodicalId":19949,"journal":{"name":"Pediatric Oncall","volume":"528 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79640243","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: 2

Pyruvate Kinase Deficiency in Twin babies 双胞胎婴儿丙酮酸激酶缺乏症

Pediatric Oncall Pub Date : 2021-01-25 DOI: 10.7199/PED.ONCALL.2021.31

A. Senthilkumar, T Hemananth, R. Ramalingam, R Raeshmi

引用次数: 0

A Surprise Diagnosis at the Pediatric Orthopedic Office 儿科骨科办公室的意外诊断

Pediatric Oncall Pub Date : 2021-01-25 DOI: 10.7199/PED.ONCALL.2021.19

B. Minkowitz, J. Israeli, J. Ristic, L. C. Wang, M. Restrepo

引用次数: 0