SVOA Paediatrics最新文献

{"title":"Wandering Spleen and Its Laparoscopic Management: A Comprehensive Case Report and Review","authors":"Mayra Ríos, Lucila Pulice, Ines Lariguet, Matías Berger, Jimena Esnaola, Miriam Marchisella","doi":"10.58624/svoapd.2024.03.074","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.074","url":null,"abstract":"Wandering spleen (WS), a rare clinical entity characterized by the absence or laxity of the spleen's normal suspensory ligaments, can lead to splenic torsion and subsequent acute abdominal presentation. This case report describes the successful laparoscopic management of a 12-year-old female patient who presented with acute abdomen secondary to a wandering spleen with torsion. A comprehensive review of the literature highlights the diagnostic challenges, therapeutic options, and the importance of timely intervention in managing this rare condition.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"22 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815576","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":"Buschke – Lowenstein Tumor. Case Report in a Patient with a History of Kidney Transplantation with Chronic Graft Rejection","authors":"Barajas-Valencia Víctor, Ibarrola-Jimenez Patricio, Laija-Alcázar María Fernanda, Wilke-Zamorano Emilia, Vazquez-Torres Septien Alejandro, Ballinas-Sánchez Ángel, Gómez Chico-Velasco Rebeca","doi":"10.58624/svoapd.2024.03.073","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.073","url":null,"abstract":"Buschke-Lo wenstein tumor is a rare disease characterized by aggressive local infiltration in the perineal region, associated with human papillomavirus infection. It primarily affects immunocompromised patients, with surgical resection being the mainstay of treatment. We report the case of an adolescent with a history of chronic immunosuppression due to vasculitis and subsequent renal complications, including terminal chronic kidney disease and renal transplant failure. At 16 years old, she was diagnosed with Buschke-Lo wenstein tumor and underwent surgical treatment with complete lesion excision.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"24 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816750","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":"Unilateral Adrenal Hemorrhage Accompanied by Subgaleal Hematoma with Severe Neonatal Anemia — Case Report","authors":"Mahesh Jain, Uma Ginjupalli, Suvarna Dhake, Sulsa Jain","doi":"10.58624/svoapd.2024.03.072","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.072","url":null,"abstract":"Neonatal adrenal hemorrhage (NAH) occurs in up to 0.2% - 0.55 % of live birth. It is important to note that approximately 10% of these cases might have bilateral involvement. Various risk factors have been reported in addition to birth asphyxia such as sepsis, coagulation disorder, traumatic delivery, and perinatal injuries. However, in a substantial proportion of cases the etiology of bleeding cannot be established. In most cases the event is asymptomatic but in others it may be so devastating and can lead to prolonged adrenal insufficiency and severe cases to shock if not recognized early. This case describes a term infant born with severe anemia in the setting of unilateral adrenal hemorrhage and subgaleal hematoma without resulting in adrenal insufficiency. The infant was successfully treated with blood transfusions and supportive treatment. This is a unique presentation of NAH as it was unilateral associated with right subgaleal hemorrhage and presented with severe anemia.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":" 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823987","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 Infant Botulism Treated with Human-Derived Antitoxin","authors":"Sara J imeno Ruiz, María Benedit Gómez, P. Touza Pol, Amaia García Arratibel, A. López Escobar","doi":"10.58624/svoapd.2024.03.061","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.061","url":null,"abstract":"Background: Infant botulism is a severe and rare illness due to the ingestion of the neurotoxin secreted by Clostridium botulinum and is a neuroparalytic descendant acute disease which is reversible, treatable and preventable. Symptoms vary from mild hypotonia to respiratory failure and sudden death. Clinical Observation: A four-months-old female baby taken to the Emergency Room because of hypoactivity and failure to eat. Parents reported constipation for the last 5 days. The physical examination showed a hypoactive baby with sleep tendency and mild axial hypotonia. During the next 48 hours there is a progressive worsening of the clinical condition with severe axial hypotonia, generalized weakness, weak cry, increasing difficulty in sucking and swallowing and increase of respiratory secretions together with weak cough reflex. An electromyogram was performed with normal results. Parents denied giving the baby honey, infusions or any other food other than milk or cereals. Although there was no clear epidemiological history, infant botulism was suspected, and contact was made with the local Health Department and a direct toxin analysis was requested from blood and fecal samples. She received treatment with human derived botulism antitoxin (BabyBIG®) with a favorable outcome. The diagnosis was confirmed by the detection of the botulism toxin B in the patient's stools. Comments: Infant botulism, although it is a rare disease in our environment, requires a high level of suspicion to make an early diagnosis and initiate a timely and specific treatment and thus reduce complications and the course of the disease.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"67 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663947","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":"AARS Novel Homozygous Variant in Two Lebanese Siblings with Isolated Transient Neonatal Axial Hypotonia","authors":"Hicham Mansour, Ghewa A EL-ACHKAR, Rola Maadarani, Siba Ramadan, Marie-Belle EL RAHI, Mamdouha Barmada","doi":"10.58624/svoapd.2024.03.060","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.060","url":null,"abstract":"AARS mutations are associated with many clinical presentations that range from neuropathy to developmental syndromes and have either recessive or dominant patterns of inheritance. Here we present the first reported Lebanese patients with a novel AARS gene variant. The two female patients presented with a transient axial neonatal hypotonia with a muscle biopsy showing secondary mitochondrial dysfunction. The patients’ symptoms showed a benign progression during the first year of life until reaching normal developmental milestones. The present case helps to widen the clinical spectrum of AARS gene mutations in order to include neonatal transient axial hypotonia.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696683","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":"Tuberculosis Presenting as Anterior Mediastinal Mass - A Possibility in An Immunocompetent Child","authors":"Tahir Muhammad Yaseen, Atif Zulfiqar, Shabbir Hussain, Aisha Fazal","doi":"10.58624/svoapd.2024.03.059","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.059","url":null,"abstract":"A case of an 8-year-boy is reported who presented with a two month history of high-grade fever, associated with reduction in his appetite and subjective weight loss. He was treated empirically on the lines of bronchopneumonia, however, with no relief in his symptoms. Chest radiograph showed mediastinal widening, which prompted the need for a computed tomographic (CT) scan of the chest revealing an anterior mediastinal mass abutting the pericardium and compressing the great vessels. The possibilities of lymphoma or germ cell tumour were considered. The serum tumor markers were unremarkable. The child underwent midline sternotomy, with complete excision of mass. The histopathology of the lesion revealed multiple epithelioid cell granulomas with necrosis, and final diagnosis of a tuberculous lesion was made. The clinical course of this patient and the relevant literature is presented in this paper.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"47 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140721056","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":"Pneumo-Scrotum as Diagnosis of Ectopic Air in Other Locations","authors":"Jennifer Lorén Martín, S. Jimeno Ruiz, A. López Escobar","doi":"10.58624/svoapd.2024.03.058","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.058","url":null,"abstract":"A 43-year-old woman presented spontaneous delivery at 35+4 weeks. An unreactive fetus was born in addition to abruptio placentae, joint exit of placenta and fetus and a true cord knot. We proceed to a deep resuscitation. During the ventilation it was observed that the scrotal volume was increased. A X-ray was done confirming ectopic air in chest, peritoneum and scrotum. Pneumo-scrotum is a rare disease that has been described in immature newborns. It has been reported secondary as infection, after aggressive resuscitation, as a consequence of mechanical ventilation and secondary to gastric perforations. Its treatment is etiological. The simple thoracic and abdominal radiography are sufficient for diagnosis. In the neonatal period, the presence of pneumo-scrotum during resuscitation may reveal ectopic air in the thorax or peritoneum.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744897","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":"Anemic Gastrointestinal Bleeding in Campylobacter Jejuni Infection","authors":"Julio César Moreno-Alfonso, Giuseppa Antona, A. M. Molina Caballero, A. Pérez Martínez","doi":"10.58624/svoapd.2024.03.057","DOIUrl":"https://doi.org/10.58624/svoapd.2024.03.057","url":null,"abstract":"We present a 13-month-old male with a history of multiple diarrheal episodes with mucus and blood due to Campylobacter Jejuni infection. He was admitted in the last of them due to mucosanguinous stools, fever and oral intolerance. He was treated with amoxicillin/clavulanic acid and a blood test was performed without leukocytosis (14 x109/L) but with neutrophilia (10.2 x109/L) and elevated CRP (85mg/L), in addition to abdominal ultrasound with minimal fluid tab in the right iliac fossa. On the second day of hospitalization, he presented an anemizing and painless gastrointestinal bleeding that required transfusion (hemoglobin 6.3g/dL), however, he was hemodynamically stable, with slightly painful abdomen in lower quadrants, but without peritoneal irritation.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140225321","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":"Evaluation of Covid-19 Vaccine Sentiment on TikTok from 2020 to 2022","authors":"Riley P. Parks, Joshua K. Kepler, Loren G. Yamamoto","doi":"10.58624/svoapd.2023.02.052","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.052","url":null,"abstract":"Purpose: The unprecedented spread of misinformation during the COVID-19 pandemic was largely driven by social media platforms. Public understanding of masking, viral transmission, treatment options for COVID, and vaccination were distorted by the influence of social media platforms. The pandemic saw a rise of TikTok, another social media platform, whose role in the dissemination of misinformation has been far less studied. The relatively new social medial platform boasts millions of monthly U.S. users, with a large portion of those users being impressionable children, teens, and young adults. Given its popularity, its role in the spread of misinformation is likely substantial. The purpose of this study is to assess the quantity of COVID misinformation on TikTok in the period of 2020 to 2022, looking specifically at the number of anti- and pro-vaccine videos appearing on the platform. By assessing the impact severity of the anti-vaccine content on TikTok, this study will be able to inform future public health efforts of these effects, with the goal of curtailing the spread of medical misinformation. Methods: Videos were collected from the app by the research team retrospectively using four sets of search terms that appear frequently in pro and anti-vaccine related content. Researchers judged the videos as anti- or pro-vaccine while recording metrics on the videos such as likes and bookmarks. A total of 284 videos were selected for analysis. Comparisons were made between likes and the other metrics using p-values for significance. Results: 109 anti- and 175 pro-vaccine videos were identified. A larger share of the data set was pro vaccine. There was no significant difference between the number of likes between anti- and pro-vaccine content. Conclusion: This study took a novel approach to TikTok by examining videos using multiple search terms over the course of a three-year period. The lack of statistical significance in number of likes between anti- and pro-vaccine content, despite there being more pro-vaccine videos is indicative of pervasive misinformation is on TikTok. Ambivalence over medical facts is not reassuring for any public health effort. Our analysis found a larger share of misinformation than previous studies, providing further evidence that a supra-dominant positive narrative on social media platforms is difficult to achieve, even though this is critical for health care initiatives.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979493","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":"Unraveling Unique Prevalence Patterns: Localized Insights into Associated Cardiac Anomalies in Anorectal Malformation Populations","authors":"Anas Shikha","doi":"10.58624/svoapd.2023.02.053","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.053","url":null,"abstract":"Background: Anorectal malformation (ARM) is a congenital condition affecting the development of the rectum and anus. Brunei exhibits a notably higher incidence of ARM compared to the global average, prompting a closer examination of associated cardiac anomalies (CAs). Methods: A retrospective observational study (2016-2022) at Brunei's tertiary care centre reviewed ARM cases, emphasizing the identification of associated CAs and their clinical impact. Results: Among 34 cases, 18% demonstrated concurrent CAs and only half of these were significant, necessitating cardiac intervention. These CAs were predominantly associated with low-type ARMs. Patent ductus arteriosus (PDA) and ventricular septal defects (VSD) were the most prevalent associated cardiac anomalies. Attributed cardiac mortality was noted in 1 case. Conclusion: Our study provides unique insights into co-occurring cardiac anomalies in Bruneian ARM cases. Deviations from global averages prompt revaluation of clinical approaches. The lower incidence of interventions suggests a distinct clinical scenario, highlighting the importance of localized studies in managing ARM cases in this specific population. The study also emphasizes the need for cautious consideration of routine echocardiograms for all ARM cases.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979421","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}