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Hypoxemia in an adolescent: when the cause is between the lines 青少年低氧血症:病因在字里行间
Nascer e Crescer Pub Date : 2020-11-27 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.14106
T. Pereira, G. Loureiro, S. Pereira, Cristina M. R. Rocha, P. Guimarães, Sara Oliveira
{"title":"Hypoxemia in an adolescent: when the cause is between the lines","authors":"T. Pereira, G. Loureiro, S. Pereira, Cristina M. R. Rocha, P. Guimarães, Sara Oliveira","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.14106","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.14106","url":null,"abstract":"Spontaneous pneumomediastinum is a rare entity in pediatric age, with multifactorial etiology. A 16-year-old male with multiple allergies (mites, dogs, cats, and grasses), daily smoker (one pack/day for one year), and regular cannabis, cocaine, and amphetamine consumer went to the Emergency Department of the local hospital with cough, dyspnea, chest pain, and fever with 12 hours of evolution. On physical examination, the boy presented facies complaints, polypnea, shortness of breath, extensive subcutaneous emphysema in the cervical region and right hemithorax, and diminished vesicular murmur bilaterally with expiratory wheezing. Chest x-ray was performed, revealing alterations compatible with pneumomediastinum and subcutaneous emphysema in the cervical region. Urine test was positive for tetrahydrocannabinoids. Atopy (IgE levels) study was performed, with positive result, and serological testing was performed for Mycoplasma pneumoniae, showing IgM of 33U/mL and IgG of 25U/mL.In this clinical case, multiple pneumomediastinum triggering/predisposing factors can be identified, including marked smoking habits, acute mycoplasma infection, and inhaled and smoked drug consumption. The aim of this study was to review the pathophysiology/semiology of pneumomediastinum and emphasize the importance of clinical suspicion.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"1 1","pages":"196-199"},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82918475","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
Pancreatitis and diabetic ketoacidosis in an adolescent treated with sertraline 青少年用舍曲林治疗胰腺炎和糖尿病酮症酸中毒1例
Nascer e Crescer Pub Date : 2020-11-26 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.17934
Ana Maria Ferreira, Joana Santos, S. Ferreira, A. Leite, R. A. Campos
{"title":"Pancreatitis and diabetic ketoacidosis in an adolescent treated with sertraline","authors":"Ana Maria Ferreira, Joana Santos, S. Ferreira, A. Leite, R. A. Campos","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.17934","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.17934","url":null,"abstract":"Acute pancreatitis (AP) is a rare entity in pediatric age. Reports of AP in the context of diabetic ketoacidosis (DKA) have established the role of transient hyperlipemia as a consequent factor. Pharmacological etiology is responsible for 0.3−1.4% of AP cases, with no case reports of an association with the use of sertraline in the pediatric population to date.Herein is described the case of a 15-year-old girl with poorly controlled type 1 diabetes, taking sertraline for a depressive disorder, who developed AP associated with DKA. With this report, the authors intend to emphasize the importance of diagnosing AP in DKA setting. In addition, since the patient had normal serum triglyceride levels and no other risk factors for AP, it is hypothesized that sertraline may have been a triggering event in this context.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"11 1","pages":"209-211"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82080325","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
Gitelman syndrome, a rare condition: three clinical cases and pathophysiology review Gitelman综合征，一种罕见的疾病:三个临床病例和病理生理复习
Nascer e Crescer Pub Date : 2020-11-26 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.18611
Daniel Meireles, Rafael Figueiredo, L. Rocha, Joaquim Cunha, P. Matos
{"title":"Gitelman syndrome, a rare condition: three clinical cases and pathophysiology review","authors":"Daniel Meireles, Rafael Figueiredo, L. Rocha, Joaquim Cunha, P. Matos","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.18611","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.18611","url":null,"abstract":"Introduction: Gitelman syndrome (GS) is a renal tubular disorder characterized by hypokalemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria. Clinical manifestations are nonspecific. Herein are reported three cases of GS with different age of onset, clinical manifestations, and management.Case Reports: Case 1 was a sixteen-year-old female, while Cases 2 and 3 presented at an atypical age (seven and eight years). Clinical manifestations mainly consisted of abdominal pain with vomits, together with past history of muscular weakness in Case 1. Diagnosis was based on usual electrolyte abnormalities, such as metabolic alkalosis with hypokalemia. Genetic diagnosis was confirmed in Case 3. Patients were treated with oral potassium, magnesium, and spironolactone, with symptom and electrolytic profile improvement.Discussion/Conclusions: GS is a rare condition that should be considered in cases of metabolic alkalosis and hypokalemia and all pediatricians should be aware of. Diagnosis is established based on biochemical profile and treatment response.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"3 1","pages":"204-208"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83462036","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
Congenital pulmonary airway malformation and bronchopulmonary sequestration in infants - a rare diagnosis 婴儿先天性肺气道畸形和支气管肺隔离——罕见的诊断
Nascer e Crescer Pub Date : 2020-11-26 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.18079
Joana Cachão, Isabel Raminhos, J. Martins, I. Bravio
{"title":"Congenital pulmonary airway malformation and bronchopulmonary sequestration in infants - a rare diagnosis","authors":"Joana Cachão, Isabel Raminhos, J. Martins, I. Bravio","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.18079","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.18079","url":null,"abstract":"Herein is described the case of a two-month-old female infant with recurrent respiratory infections, admitted to the Pediatric Emergency Department with productive cough, respiratory distress, and fever. Chest radiography showed an heterogenous hypotransparent image in the left pulmonary field and contralateral deviation of the mediastinum. Angiotomography revealed bilateral bronchopulmonary sequestration and a systemic vessel contributing to area irrigation. The patient was submitted to vessel occlusion and lacquering, left inferior lobectomy, and resection of a right lower lobe segment. Histological examination confirmed intralobar bronchopulmonary sequestration and type 2 congenital pulmonary airway malformation in the left lung, and extralobar bronchopulmonary sequestration in the right lung.With this report, the authors intend to emphasize the importance of clinical suspicion of congenital anomalies in infants with recurrent respiratory infections.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"143 1","pages":"200-203"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80263276","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
Pediatric idiopathic midgut volvulus and shock in the infant 小儿特发性中肠扭转和婴儿休克
Nascer e Crescer Pub Date : 2020-11-26 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.18738
Juliana Maciel, A. L. Santos, A. S. Marinho, S. Figueiredo, A. R. Araújo, Hélder Morgado, B. Leitão, A. Sarmento, S. Fernandes, P. Ferreira
{"title":"Pediatric idiopathic midgut volvulus and shock in the infant","authors":"Juliana Maciel, A. L. Santos, A. S. Marinho, S. Figueiredo, A. R. Araújo, Hélder Morgado, B. Leitão, A. Sarmento, S. Fernandes, P. Ferreira","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.18738","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.18738","url":null,"abstract":"Introduction: Intestinal volvulus is a surgical emergency in which a segment of the intestine twists over its mesenteric attachment, causing bowel obstruction. It usually presents with bilious vomiting and can progress to bowel necrosis and shock. Case Report: A 40-days-old male infant presented with acute onset irritability, bilious vomiting, abdominal distention, and hematochezia. He rapidly evolved to shock with metabolic acidosis and coagulopathy, requiring fluid resuscitation, vasoactive agents, and invasive mechanical ventilation. The patient was submitted to urgent laparotomy, confirming midgut volvulus without malrotation. Partial reperfusion of the affected midgut was achieved, with no resection initially performed, but 48 hours later he was re-evaluated and partial enterectomy for midgut necrosis was performed. Despite the condition´s severity, the patient had a good evolution with full recovery.Discussion: Bilious vomiting in the infant is highly suggestive of intestinal obstruction. The authors emphasize the presence of midgut volvulus without malrotation, complicated with bowel necrosis and shock.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"70 1","pages":"212-214"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74563805","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
Neonatal clinical case 新生儿临床病例
Nascer e Crescer Pub Date : 2020-11-18 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.19646
A. Fernandes, R. Lima, M. Novo, F. Medina, A. Pereira
{"title":"Neonatal clinical case","authors":"A. Fernandes, R. Lima, M. Novo, F. Medina, A. Pereira","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.19646","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.19646","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"19 1","pages":"220-221"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80891290","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
The boy to whom things happen: case report of a condition once named “hysteria” 发生事情的男孩:一种曾经被称为“歇斯底里”的情况的病例报告
Nascer e Crescer Pub Date : 2020-11-18 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.18483
A. R. Rodrigues, O. Queirós
{"title":"The boy to whom things happen: case report of a condition once named “hysteria”","authors":"A. R. Rodrigues, O. Queirós","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.18483","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.18483","url":null,"abstract":"Introduction: Although banished from current mental disorders classifications, the condition formerly known as hysteria has clinical manifestations still puzzling to clinicians. Herein is briefly revised the historical concept of hysteria, as well as, psychological mechanisms underlying some of its current derivatives: conversive and dissociative disorders. Case report: A previously healthy 17-year-old boy presented with sudden onset of total strength loss in the lower limbs. After neurological assessment, the boy was diagnosed with conversion disorder. Two months later he developed trance and possession states requiring hospitalization, and later, dissociative amnesia. Despite psychological distress underlying patient’s symptoms, la belle indifference was also a meaningful issue. Discussion: This study presents a critical reflection about conversion and dissociative disorders and diagnostic challenges arising from their inconsistent and variable clinical features. Conclusion: With this case report, the authors intend to raise awareness to the risk of recurring care demand for care that can elicit iatrogenic harm and delayed proper treatment.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"19 1","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86913771","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
Imaging clinical case 影像学临床病例
Nascer e Crescer Pub Date : 2020-11-18 DOI: 10.25753/BIRTHGROWTHMJ.V29.I4.19737
F. S. Xavier, M. Duarte, A. Seber
{"title":"Imaging clinical case","authors":"F. S. Xavier, M. Duarte, A. Seber","doi":"10.25753/BIRTHGROWTHMJ.V29.I4.19737","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I4.19737","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"33 1","pages":"222-224"},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87193006","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
Chronic spontaneous urticaria in pediatric age 儿童期慢性自发性荨麻疹
Nascer e Crescer Pub Date : 2020-08-07 DOI: 10.25753/BIRTHGROWTHMJ.V29.I3.17002
I. Cunha, E. Gomes
{"title":"Chronic spontaneous urticaria in pediatric age","authors":"I. Cunha, E. Gomes","doi":"10.25753/BIRTHGROWTHMJ.V29.I3.17002","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I3.17002","url":null,"abstract":"Introduction: Chronic spontaneous urticaria is characterized by emergence of pruritic maculopapular cutaneous lesions recurring for more than six weeks, without known triggering factor. Association with autoimmunity is sometimes present, with urticaria preceding the onset of autoimmune disease.Clinical case: A five-year-old female with a personal history of allergic asthma and family history of thyroid disease was referred to the Immunoallergology consultation for cutaneous complaints compatible with urticaria with more than three years of evolution. Inducible urticaria forms were excluded. Analytical study revealed positive antinuclear antibodies with a 1/320 titer and positive basophil activation test after stimulation with autologous serum. Control of cutaneous manifestations was achieved with full dose antihistaminic H1. Conclusion: Chronic spontaneous urticaria associated with autoimmunity is rare in children. Clinical follow-up should be maintained to evaluate disease control and enable early recognition of other autoimmunity manifestations.","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"52 1","pages":"145-148"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90819137","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
Infectious disease clinical case 传染病临床病例
Nascer e Crescer Pub Date : 2020-08-07 DOI: 10.25753/BIRTHGROWTHMJ.V29.I3.19354
Ana Lachado, A. Fernandes, C. Teixeira, L. Marques, T. Silva
{"title":"Infectious disease clinical case","authors":"Ana Lachado, A. Fernandes, C. Teixeira, L. Marques, T. Silva","doi":"10.25753/BIRTHGROWTHMJ.V29.I3.19354","DOIUrl":"https://doi.org/10.25753/BIRTHGROWTHMJ.V29.I3.19354","url":null,"abstract":"","PeriodicalId":31313,"journal":{"name":"Nascer e Crescer","volume":"5 1","pages":"160-161"},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79853464","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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