Central European Journal of Paediatrics最新文献_第9页

Association of Vitamin D Status and Activity of Juvenile Idiopathic Arthritis: A Single Center Experience 维生素D状态与幼年特发性关节炎活动的关联:单一中心经验

Central European Journal of Paediatrics Pub Date : 2021-03-24 DOI: 10.5457/P2005-114.280

Almira Ćosićkić

引用次数: 0

Non-operative Reduction of Intussusception in 16-Month-Old Boy with Sudden Episode of Hemorrhaging Deterioration via Reperfusion of Meckel’s Diverticulum: Case Report 经梅克尔憩室再灌注致突发性出血恶化的16月龄男婴肠套叠非手术复位1例

Central European Journal of Paediatrics Pub Date : 2021-03-24 DOI: 10.5457/P2005-114.286

Yuliya Modna

{"title":"Non-operative Reduction of Intussusception in 16-Month-Old Boy with Sudden Episode of Hemorrhaging Deterioration via Reperfusion of Meckel’s Diverticulum: Case Report","authors":"Yuliya Modna","doi":"10.5457/P2005-114.286","DOIUrl":"https://doi.org/10.5457/P2005-114.286","url":null,"abstract":"Objective – The aim of this study is to report a rare clinical case of a 16-month-old boy with a sudden episode of hemorrhaging deterioration, which required immediate laparotomy 14 hours after a successfully performed non-surgical reduction of intussuscepton. Inflamed Meckel’s diverticulum was identified as the cause of hemorrhage due to the reperfusion of this region of the intestine after the invagination was resolved. Case Report – A 16-month-old boy was presented to the emergency department with the signs and symptoms of acute intestinal invagination, which were visually confirmed by ultrasound. The successful reduction of intussusceptions by air enema was performed and confirmed by ultrasound. On physical examination five hours after the gas enema procedure patient had no complaints, and no signs or symptoms of peritoneal irritation. However, 14 hours after the reduction of intussusception patient developed signs of hemorrhage, which suggested the presence of hemorrhaging Meckel’s diverticulum due to a reperfusion of that region of intestine. Conclusion – Despite the successful use of nonsurgical methods of disinvagination, it remains critical for the management team to keep in mind that one of the predisposing factors of acute intestinal invagination such as Meckel’s diverticulum can cause post therapeutic complications, manifesting as acute hemorrhage.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851280","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 Ponseti Method Followed by Minimally Invasive Surgery as Method of Choice in Treatment of Congenital Talipes Equinovarus: Review Article Ponseti法加微创手术治疗先天性马蹄内翻:综述文章

Central European Journal of Paediatrics Pub Date : 2021-03-24 DOI: 10.5457/P2005-114.283

S. Dučić

引用次数: 1

Intrarenal Reflux Diagnosed by Contrast-enhanced Voiding Urosonography - a Case Report 对比增强排尿超声诊断肾内反流1例报告

Central European Journal of Paediatrics Pub Date : 2021-03-24 DOI: 10.5457/P2005-114.287

I. Palčić

{"title":"Intrarenal Reflux Diagnosed by Contrast-enhanced Voiding Urosonography - a Case Report","authors":"I. Palčić","doi":"10.5457/P2005-114.287","DOIUrl":"https://doi.org/10.5457/P2005-114.287","url":null,"abstract":"Objective − Intrarenal reflux (IRR) is the main cause of renal injury in children with vesicoureteral reflux (VUR), and has an important role in the pathogenesis of scarring and reflux nephropaty (RN). Using voiding cystourethrography (VCUG) IRR is usually detected in high grades of VUR. Our case demonstrates the possibility of visualizing IRR in a child with low-grade VUR using contrast-enhanced voiding urosonography (ceVUS). Case Report − We report the case of a four-month-old girl with Klebsiella pneumoniae febrile urinary tract infection (UTI) who was diagnosed by ceVUS with VUR grade II on the right kidney, with IRR strongest in the lower pole. A 99m Tc 2.3-dimercaptosuccinic acid (DMSA) renal scan, which was performed 8 months after the UTI revealed a small scar on the lower pole of the right kidney, where IRR was found by ceVUS. Conclusion − Our case report showed that not only the grade of reflux but also the presence of IRR is important to predict the severity of the clinical picture and the development of possible scarring. It is important to find IRR because it may be connect with renal scars. VUR with IRR should be managed actively to decrease the chances of renal scarring or the development of new scars.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43572055","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

Consequences of Child Abuse and Neglect 虐待和忽视儿童的后果

Central European Journal of Paediatrics Pub Date : 2020-12-23 DOI: 10.5457/p2005-114.275

Arta Dodaj

引用次数: 5

Risk Factors and Clinical Parameters Associated with the Severity of the Clinical Picture of Enteroviral Meningitis in Neonates Treated in the Tertiary Neonatal Unit in Slovenia 斯洛文尼亚第三新生儿科治疗的新生儿肠病毒性脑膜炎临床症状严重程度的危险因素和临床参数

Central European Journal of Paediatrics Pub Date : 2020-11-30 DOI: 10.5457/p2005-114.267

M. Kavčič

{"title":"Risk Factors and Clinical Parameters Associated with the Severity of the Clinical Picture of Enteroviral Meningitis in Neonates Treated in the Tertiary Neonatal Unit in Slovenia","authors":"M. Kavčič","doi":"10.5457/p2005-114.267","DOIUrl":"https://doi.org/10.5457/p2005-114.267","url":null,"abstract":"Objective – To describe the clinical course of enteroviral meningitis in neonates in a tertiary neonatal unit. Materials and Methods – We analysed maternal and perinatal history, clinical and laboratory data, therapy and short-term outcomes in neonates who had enterovirus detected in the cerebrospinal fluid (CSF) and compared the group of neonates with early-onset (≤7 day of life (DOL)) meningitis to the group of neonates with late-onset (>7 DOL) meningitis. Results – A total of 30 term neonates were included (63% male). Majority (73%) presented during the summer and autumn months, 57% were in contact with siblings who had signs of viral disease, 10% of mothers had signs of viral disease at delivery or shortly after. Neonates presented with irritability (97%), fever (83%), feeding intolerance (66%), diarrhoea (56%), nonspecific rash (23%), seizures (10%). Both the C-reactive protein (CRP) and pro-calcitonin (PCT) were elevated in 23% of patients; only CRP was elevated in 57%, only PCT in 37%. Twelve (40%) had elevated leukocyte count in the CSF. Antibiotics were initiated in 80% (median treatment 1.5 days). Majority of the neonates with early-onset meningitis had jaundice, higher urea and creatinine serum concentration, and lower thrombocyte numbers. Conclusion – Enteroviruses are an important cause of meningitis in neonates during summer and autumn months. Neonates in close contact with ill family members or carers are particularly at risk. Neonates present with fever, irritability, feeding intolerance, diarrhoea, normal or mildly elevated CRP and/or PCT values. Neonates with early-onset meningitis had a similar grade of infection and outcome as did the neonates with late-onset disease. Our findings confirm that enteroviral meningitis carries a good prognosis in the majority of neonates.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46022341","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

Characteristics and Early Outcomes of Forceps Deliveries in a Tertiary Clinical Center 三级临床中心Forces分娩的特点和早期结果

Central European Journal of Paediatrics Pub Date : 2020-11-30 DOI: 10.5457/p2005-114.268

M. Cakić

{"title":"Characteristics and Early Outcomes of Forceps Deliveries in a Tertiary Clinical Center","authors":"M. Cakić","doi":"10.5457/p2005-114.268","DOIUrl":"https://doi.org/10.5457/p2005-114.268","url":null,"abstract":"Objective The study aimed to investigate the characteristics of women and their children as well as the deliveries completed using forceps in one tertiary center. Material and Methods The study included all women who had vaginal delivery during 2019. Women were classified according to use of the outlet forceps for delivery into the study and control group. We recorded maternal age and parity, duration of delivery, stimulation and epidural analgesia use, neonatal measures and Apgar score, maternal and neonatal complications after delivery. Results Of the 3,570 vaginal births, forceps was applied 23 (0.64%) times. Most women were aged <35 years and were primiparous. The indication for forceps use in all cases was the delay in the expulsion phase. Forceps deliveries lasted on average 6.20+/-2.15 hours. In both groups, birth canal injuries were frequently registered (P=0.001), while uterine atony was rare (P=0.001). Postpartum anemia was more frequent after forceps application, however, not significantly. A similar number of children with and without neonatal complications was registered (P=0.140). Children born using forceps had lower Apgar scores than those from the control group (P=0.046) and spent longer time in the intensive care unit (P=0.038). There were no other significant differences in any of the tested parameters of mothers and children between the study and the control group. Conclusion Use of forceps is remarkably rare in our setting. Children born using forceps have less favorable early perinatal outcomes, but few serious long-term complications. If applied skillfully and according to indications, forceps is safe for both mothers and children.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"16 1","pages":"123-131"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44088360","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

Pulmonary Hemorrhage in a Patient with Brain-Lung-Thyroid Syndrome Caused by a p.T86fs Variant in the NKX2-1 Gene NKX2-1基因p.T86fs变异引起脑-肺-甲状腺综合征患者肺出血

Central European Journal of Paediatrics Pub Date : 2020-11-30 DOI: 10.5457/p2005-114.271

Nina Maric

引用次数: 0

Tooth Aspiration in Child during a Dental Procedure: Case Report and Review of the Literature 儿童在牙科手术中吸牙:个案报告及文献回顾

Central European Journal of Paediatrics Pub Date : 2020-11-30 DOI: 10.5457/p2005-114.273

Amina Hadžibeganović

引用次数: 0

Comprehensive Approach to Vulnerable Adolescents with Mental Health Problems 对有心理健康问题的弱势青少年采取综合措施

Central European Journal of Paediatrics Pub Date : 2020-11-30 DOI: 10.5457/p2005-114.278

V. Stojkovic

引用次数: 0