Tiago Roberto, Rose Bonvicini, G. A. Araújo Filho, Elimeire Oliveira
{"title":"Cri du chat syndrome and inclusive education","authors":"Tiago Roberto, Rose Bonvicini, G. A. Araújo Filho, Elimeire Oliveira","doi":"10.25060/residpediatr-2023.v13n1-754","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n1-754","url":null,"abstract":"This study offers reflections on the inclusion of children with Cri Du Chat Syndrome (CCS), a rare condition of genetic origin. OBJECTIVES: To discuss the inclusion of children with CCS in schools and describe the characteristics, diagnosis, treatment, and main symptoms of the condition, along with the main difficulties students with CCS might face; to assess the knowledge teachers have about CCS and potential teaching resources they may use. METHOD: A digital survey questionnaire was used in this qualitative exploratory descriptive study. RESULTS: Only 14.8% of the 27 teachers who responded the questionnaire had knowledge about CCS and had worked in a classroom with adapted pedagogical practices. CONCLUSION: A very small portion of teachers had knowledge about CCS and most had never been in contact with individuals with the syndrome, either in a classroom or during training. A path has to be developed for the inclusion of children with CCS, through a process based on knowledge, affection, love, and respect for differences.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131015135","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":"Kawasaki disease with late recurrence","authors":"Camila Cabrera, Nicolle Pinheiro","doi":"10.25060/residpediatr-2023.v13n2-554","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n2-554","url":null,"abstract":"Report of a rare case of recurrence of Kawasaki Disease (KD) and, thus, draw the attention to the possibility of recurrence of the disease after the first episode and thee risk of coronary complications. Recorrence of KD is rare, occurs in only 3-5% of case described in Japan, and is even less frequent in other populations. The inscidence of recurrence in KD is highest in the first two years after the first diagnosis, being more frequent in male patients aged two years or less. Cardiac complications are more frequent in the recurrence of KD, and death can occur from coronary thrombosis or rupture of coronary aneurysm.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131187146","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":"A child on a high-FODMAP diet with chronic abdominal pain","authors":"B. Marino, N. Sandy, M. Brandão","doi":"10.25060/residpediatr-2022.v12n4-444","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n4-444","url":null,"abstract":"Abdominal pain affects up to 45% of children aged 4 to 18 years. Functional disorders rank as the main cause. There is no consensus over what constitutes “minimal” investigation for the management of pediatric patients with chronic abdominal pain. This case report presents and discusses a case of long-term chronic abdominal pain involving a child previously submitted to extensive complementary investigation, in which detailed clinical evaluation found the patient was in a high-FODMAP diet. The introduction of dietary interventions led to symptom remission. This report demonstrates how thorough anamnesis and careful physical examination are essential in elucidating the etiology of abdominal pain.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132174203","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":"A case of childhood muscle weakness","authors":"Tainá Cardoso, L. Rodrigues","doi":"10.25060/residpediatr-2022.v12n2-01","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n2-01","url":null,"abstract":"","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133853604","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}
Davi Yahiro, Tayná Viana, Gustavo Yecker, Matheus Lima, Renata Azzi, Maria Izabel Andrade, Lisandra Alcântara, Heitor Pereira, Eduarda Giesteira, Sofia Quintão, Marcos Vinícius Moraes, Matheus Moura, Andre Araújo
{"title":"Pulmonary exacerbation of cistic fibrosis by Brevibacterium sp in a child: case report and literature review","authors":"Davi Yahiro, Tayná Viana, Gustavo Yecker, Matheus Lima, Renata Azzi, Maria Izabel Andrade, Lisandra Alcântara, Heitor Pereira, Eduarda Giesteira, Sofia Quintão, Marcos Vinícius Moraes, Matheus Moura, Andre Araújo","doi":"10.25060/residpediatr-2023-1064","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-1064","url":null,"abstract":"Cystic fibrosis (CF) is an autosomal recessive disease that usually affects the respiratory tract causing recurrent infections and deterioration of lung function. Other organs such as the digestive system and pancreas are also affected. In this report, we describe an 8-year girl with CF, previously colonized with Pseudomonas aeruginosa that developed pulmonary exacerbation not responsive to empiric treatment of broad spectrum antibiotics directed against prior colonization. Brevibacterium sp was detected in culture of bronchoalveolar lavage during bronchoscopy. Antimicrobial treatment was changed to vancomycin, meropenem, amikacin and ciprofloxacin with clinical, laboratorial and radiologic improvement after 23 days of treatment. Patient received discharge 30 days after admission for ambulatory follow-up. Its important that healthcare workers consider the possibility of atypical agents causing pulmonary exacerbation in patients with cystic fibrosis, mainly in children with initial failure of empiric treatment.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115761580","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":"Non-celiac gluten sensitivity in pediatric patients: a literature review","authors":"V. Carvalho, N. Queiroz","doi":"10.25060/residpediatr-2022.v12n3-569","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-569","url":null,"abstract":"OBJECTIVE: This study aims to review the relevant bibliography about non-celiac gluten sensitivity in children and to summarize the main data of pathogenesis, symptomatology and diagnostic methods currently established, useful for clarifying the pediatric physician regarding this pathology. METHODS: The databases selected were: PubMed (The National Center for Biotechnology Information), LILACS (Latin American and Caribbean Health Sciences Literature) and SciELO (Scientific Electronic Library Online). Publications that contributed to the present review in the 2016-2021 interval, in English, Portuguese or Spanish, were chosen using the terms child, pediatrics, non-celiac gluten sensitivity and gluten sensitivity. RESULTS: Non-celiac gluten sensitivity occurs in patients in whom celiac disease and wheat allergy have been ruled out. Intestinal and extra-intestinal manifestations occur after eating gluten-containing foods and disappear after they are removed from the diet. The pathophysiological basis of non-celiac gluten sensitivity is related to the bodys innate immune response triggered by gluten peptides. The placebo-controlled double blind challenge test is considered the gold standard for diagnostic investigation, despite limitations. New methods are being tested in order to correctly affirm the diagnosis of non-celiac gluten sensitivity. CONCLUSION: The diagnostic determination of non-celiac gluten sensitivity is essential in order that the pediatric patient don’t be subjected, unnecessarily, to gluten-free diets that can have a negative impact on their nutrition and development.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114616732","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}
Rebeca Branco, Valéria Menezes, José Francisco Avelar, Marynea Vale, Patrícia Marques
{"title":"EPIDEMIOLOGICAL PROFILE OF NEWBORNS WITH RETINOPATHY OF PREMATURITY AT THE UNIVERSITY HOSPITAL OF THE FEDERAL UNIVERSITY OF MARANHÃO","authors":"Rebeca Branco, Valéria Menezes, José Francisco Avelar, Marynea Vale, Patrícia Marques","doi":"10.25060/residpediatr-2023-889","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-889","url":null,"abstract":"Objective: To describe the profile of premature newborns and exploratory analysis of factors associated with the development of retinopathy of prematurity (ROP) at the University Hospital of the Federal University of Maranhão (HUUFMA). Methods: This is a cross-sectional study based on data from the medical records of premature newborns treated at the University Hospital of the Federal University of Maranhão (HU-UFMA), from 2015 to 2020. Possible statically significant associations for the development of ROP were evaluated: sex, gestational age, birth weight, length, head circumference, length of hospital stay, APGAR and others. The significance level adopted was 5% (p<0.05). Results: It was found that, in children with a confirmed diagnosis of ROP, the most prevalent sex was female (50.95%), the mean gestational age was 29.08 weeks, the most frequent outcome was hospital discharge (70, 71%), mean birth weight was 1,089 grams, mean hospital stay was 45.44 days, mean length was 35.73 cm, mean head circumference was 26.06, Apgar most prevalent in the first minute was in the range from 4 to 7 (43.32%) and in the fifth minute from 8 to 10 (56.40%). Conclusions: The prevalence of ROP cases was 61.40% among newborns followed up at a reference service in the state of Maranhão. It was observed that the lower the gestational age and birth weight, the greater the risk of developing ROP.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114765744","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}
Residência PediátricaPub Date : 1900-01-01DOI: 10.25060/residpediatr-2023.v13n1-1005
Diane Pontes, Ana Julia Ribeir, José Maia Filho, Â. Freita, V. Gomes
{"title":"An adolescent with type 1 diabetes and coinfection with melioidosis and COVID-19: a case report","authors":"Diane Pontes, Ana Julia Ribeir, José Maia Filho, Â. Freita, V. Gomes","doi":"10.25060/residpediatr-2023.v13n1-1005","DOIUrl":"https://doi.org/10.25060/residpediatr-2023.v13n1-1005","url":null,"abstract":"Melioidosis is a rare and potentially fatal infection, emerging in Brazil and endemic in Ceará, caused by the bacterium Burkholderia pseudomallei, which requires a high index of clinical suspicion for its diagnosis. It can manifest acutely, chronically or latently and, in general, in symptomatic patients there is sepsis with or without pneumonia. Diabetes mellitus is the main known risk factor. We present the case of a diabetic adolescent diagnosed with septicemic melioidosis and co-infection with COVID-19.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116969454","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}
C. Leite, Júlia Rainer, Cecília Silva, Camilla Laviola
{"title":"The importance of anthropometry and cranial semiology for the early diagnosis of Trigonocephaly: Case report","authors":"C. Leite, Júlia Rainer, Cecília Silva, Camilla Laviola","doi":"10.25060/residpediatr-2023-944","DOIUrl":"https://doi.org/10.25060/residpediatr-2023-944","url":null,"abstract":"Trigonocephaly is a type of craniosynostosis in which there is premature closure of the metopic suture, in order to determine an abnormal growth of the skull. In a minority of cases, trigonocephaly can cause increased intracranial pressure and the onset of neurological disorders. When present, these complications can be prevented or mitigated if the diagnosis and treatment occur between 6 and 12 months of life. The objective of the study is to report a case of craniosynostosis in an infant and reaffirm the importance of anthropometry and cranial semiology. On physical examination, a 4-month-old infant had a head circumference: 41 cm, metopic suture mounted, biparietal diameter: 23 cm, fronto-occipital diameter: 28 cm. Cranial computed tomography with 3D reconstruction confirmed the diagnosis of trigonocephaly, and he was referred to pediatric surgery. The study was submitted to the Human Research Ethics Committee approved under CAAE number 53607821.7.0000.5237. The diagnosis of trigonocephaly is made through the analysis of anthropometric measurements of the skull, represented by the head circumference, anteroposterior distance and binaural distance, and confirmed through computed tomography with 3D reconstruction. In pediatric practice, it is common to only measure the head circumference, which is often normal, with changes only in the anteroposterior and binaural distances. Consequently, there is a delay in the diagnosis of craniosynostosis. Thus, the importance of routinely measuring the three anthropometric measurements of the skull is emphasized for Residência Pediátrica; 2023: Ahead of Print. Nota aos leitores: pode haver informações pendentes, por se tratar de um artigo em “visualização pré-publicação”. the early diagnosis of craniosynostosis and for the prevention and reduction of its complications, even though they are rare.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117017931","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":"Hipóxia intrauterina e asfixia ao nascer em uma cidade do sul do Brasil","authors":"Marina Borges, L. Reis, L. Ribas","doi":"10.25060/residpediatr-2022.v12n3-501","DOIUrl":"https://doi.org/10.25060/residpediatr-2022.v12n3-501","url":null,"abstract":"INTRODUCTION: Intrauterine hypoxia and asphyxia at birth corresponds to the fourth cause of neonatal and perinatal death in Brazil, this data reflects the quality of care needed in maternity wards for the parturient and the newborn because it is preventable. Perinatal asphyxia is defined as there is an interruption in gas exchange or a damaged blood flow, leading to persistent hypoxemia and hypercapnia in the period before childbirth or intrapartum, which can lead to permanent lesions in several systems. OBJECTIVES: The study aims to analyze the epidemiological profile of the occurrence of intrauterine hypoxia and neonatal asphyxia considering maternal and fetal factors in the municipality of Pelotas, RS, between the years 2008 to 2018. METHODS: Cross-sectional study where secondary data obtained on the DATASUS platform on the prevalence of intrauterine hypoxia and asphyxia at birth in Pelotas, RS. Results: It was possible to observe that the prevalence was higher in male newborns, in cesarean deliveries that occurred in the private system. In addition, mortality was 15.75%, higher in the maternal age group between 25 and 29 years, in single pregnancies lasting 37 to 41 weeks and birth weight between 1.500 and 2.499 grams. The majority of deaths occurred before delivery. CONCLUSION: Intrauterine hypoxia and asphyxia at birth is an important cause of preventable perinatal morbidity and mortality with prevalence in preterm newborns weighing less than 2.500 grams. It allows assessing the quality of care for pregnant women and newborns during prenatal and delivery.","PeriodicalId":338092,"journal":{"name":"Residência Pediátrica","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117315481","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}