SVOA Paediatrics最新文献_第4页

Clinical Characteristics and Outcomes of Kawasaki Disease in Infants Younger than Six Months of Age: Algerian Multicenter Study 6个月以下婴儿川崎病的临床特征和结局:阿尔及利亚多中心研究

SVOA Paediatrics Pub Date : 2023-04-25 DOI: 10.58624/svoapd.2023.02.032

Mohammed Mokhtar Bekkar, Karima OULD SAID, Sidi Mohammed Ghomari, Amina Tari, Chahrazed Mesdour, Lahouaria Cheriet, Safia Zoubir, Salih Bendeddouche, Khadidja Benallel, Sakina Niar

{"title":"Clinical Characteristics and Outcomes of Kawasaki Disease in Infants Younger than Six Months of Age: Algerian Multicenter Study","authors":"Mohammed Mokhtar Bekkar, Karima OULD SAID, Sidi Mohammed Ghomari, Amina Tari, Chahrazed Mesdour, Lahouaria Cheriet, Safia Zoubir, Salih Bendeddouche, Khadidja Benallel, Sakina Niar","doi":"10.58624/svoapd.2023.02.032","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.032","url":null,"abstract":"Background and Objectives: Kawasaki disease (KD) is one of the most common immune vasculitis in children and the leading cause of acquired heart disease, which predominantly occurs in children under the age of 5 years. However, there are fewer cases of KD in infants younger than 6 months, making diagnosis more challenging. The objective is to characterize the clinical presentation and evolution of KD in infants < 6 months of age as compared to those ≥6 months in western Algeria. Methods: We retrospectively reviewed the medical records of 62 patients diagnosed with KD in western Algeria followed between January 2018 and January 2023. The data were categorized into 2 groups by age: Group A (<6 months, n=12) and Group B (≥6 months, n=50). We compared differences in laboratory data, clinical presentation, treatment response, and coronary artery outcomes between the two cohorts. Results: The majority (78%) of infants and children ≥6 months of age were initially diagnosed with KD, as compared to only 33,3% of infants <6 months. Clinical features of KD were more commonly observed in the older cohort: oral changes (90 vs. 75%, P = 0.0023), extremity changes (76 vs. 50 %, P = 0.029), and cervical lymphadenopathy (66 vs. 33.3%, P = 0.0004). Whether treated in the first 10 days of illness or after the 10th day, infants <6 months were at greater risk of developing a coronary artery aneurysm compared to KD patients ≥6 months treated at the same point in the course of illness [≤10 days (55 vs. 8,88 %, P = 0.0001) ; >10 days (66,6 vs. 6,6%, P = 0.046)]. Conclusion: Our data show that despite treatment in the first 10 days of illness, infants <6 months of age have a higher risk of developing a coronary artery aneurysm. Delay in the diagnosis leads to larger coronary artery aneurysms disproportionately in these infants. Thus, suspicion for KD should be high in this vulnerable population.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"42 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120980744","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

Rituximab Use in Aggressive Pediatric Multiple Sclerosis: A Case Report 利妥昔单抗在侵袭性小儿多发性硬化症中的应用:1例报告

SVOA Paediatrics Pub Date : 2023-04-10 DOI: 10.58624/svoapd.2023.02.030

Ahmed Kaki, Fahad Albassam

引用次数: 0

First Report of A Lebanese Patient With TK2 Related Myopathic Syndrome 黎巴嫩一例TK2相关肌病综合征的首次报道

SVOA Paediatrics Pub Date : 2023-03-02 DOI: 10.58624/svoapd.2023.02.029

Al-Fata Soulaima, Masri Marwa, Hage e Pierre, Hamod Dany, Diab Nabil, Ghanem Soha, Megarbané André, El-Khoury Riyad, Sacy Robert, Mansour Hicham

引用次数: 1

A Short Overview of Some Important Concerns Faced During Breastfeeding 母乳喂养期间面临的一些重要问题的简短概述

SVOA Paediatrics Pub Date : 2023-02-21 DOI: 10.58624/svoapd.2023.02.027

S. Kalyanasundaram, M. Ahmed, A. Fawzi, E. Eladl

引用次数: 0

Melody Pulmonary Valve Implantation Through the Periventricular Way

SVOA Paediatrics Pub Date : 2023-02-21 DOI: 10.58624/svoapd.2023.02.028

Chozas Agustín, A. Gutierrez, M. L. Daneri, C. Kreutzer, D. Klinger, Benjamín Chiostri, Marcelo Rivarola

{"title":"Melody Pulmonary Valve Implantation Through the Periventricular Way","authors":"Chozas Agustín, A. Gutierrez, M. L. Daneri, C. Kreutzer, D. Klinger, Benjamín Chiostri, Marcelo Rivarola","doi":"10.58624/svoapd.2023.02.028","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.028","url":null,"abstract":"Introduction: Percutaneous pulmonary valve implantation (PPVI) initiated a new era in the intervention of congenital heart disease. The Melody valve has the greatest experience around the world with more than 10,000 implants, mostly in the pulmonary position, recommended for patients over 5 years of age and 30kg. There are reports of hybrid implants through a small subxiphoid incision for those patients who do not meet the requirements for a traditional implant. Material and method: Retrospective observational analysis with demographic and procedural evaluation, and medium - term follow - up of two cases of IVP through the periventricular route, in a tertiary care University Hospital. Results: Both patients had multiple sternotomies and had presented severe neurological complications secondary to corrective surgery, which is why they were rejected for surgical valve replacement; weighed less than 30 kg; They met criteria for pulmonary valve replacement and were proposed for periventricular IVP. In a hybrid catheterization laboratory with support from pediatric cardiovascular surgery, a minimal sternotomy (lower third of the sternum) was performed; Extra support guidewire was stabilized in the left pulmonary branch through a hemostatic purse string and Landing Zone was performed with a CP stent. Subsequently, the Melody valve was implanted on an 18 and 22 mm balloon (case 1 and case 2, respectively). Control angiographies were performed without observing pulmonary insufficiency or paravalvular leak. Both were discharged from the hospital in excellent hemodynamic condition at 72 hours, maintaining periodic check - ups. Conclusion: Percutaneous pulmonary valve implantation emerges as an alternative to valve replacement surgery; Periventricular access is a novel technique that allows for effective valve implantation by entering through a small surgical incision, avoiding the complications of major surgery, with excellent results and prompt recovery.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124290721","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 Alveolar Microlithiasis: An Indolent Disease with Astounding Radiological Findings 肺泡微石症:一种具有惊人影像学表现的惰性疾病

SVOA Paediatrics Pub Date : 2023-02-20 DOI: 10.58624/svoapd.2023.02.026

Zainab Gilitwala, P. Chandane, S. Chandrashekhar

{"title":"Pulmonary Alveolar Microlithiasis: An Indolent Disease with Astounding Radiological Findings","authors":"Zainab Gilitwala, P. Chandane, S. Chandrashekhar","doi":"10.58624/svoapd.2023.02.026","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.026","url":null,"abstract":"Pulmonary Alveolar Microlithiasis is a disorder in which calcospherites composed of calcium and phosphorous accumulate in the alveoli throughout the lung parenchyma leading to a progressive infiltrative lung disease. It can present completely asymptomatically in early childhood, only to end with cor pulmonale in later life. We report two cases - the first, a six - year - old boy who had a strong familial history of lung diseases and presented with a history of chronic cough. No further symptoms were elicited, although two elder familial members had passed away of cor pulmonale in their mid - 30s. The other is an eight - year - old boy referred to as a case of “ non - responsive pulmonary tuberculosis, diagnosed sans microbiological evidence. Respiratory examination, and growth were normal in both children. Chest X - ray had a typical ‘ Stone Lung ’ appearance. The clinical findings were in contrast to the radiological picture and hence a CT scan (Chest) was done. On further suspicion, lung biopsy and genetic analysis established the diagnosis of Pulmonary Alveolar Micro-lithiasis The patients were given supportive treatment and started on oral Etidronate. With an indolent clinical course, Pulmonary Alveolar Microlithiasis poises itself to remain a “ missed diagnosis ” with eventual poor outcome, unless the paediatrician is vary about the astounding radiological findings, which should immediately prompt towards further workup for the disease.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"59 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117221266","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

Non-Chylous Congenital Pleural Effusion in New-Born 新生儿非乳糜性先天性胸腔积液

SVOA Paediatrics Pub Date : 2023-01-19 DOI: 10.58624/svoapd.2023.02.025

A. Elmelhat

引用次数: 0

Accidental Ingestion of Toxic Materials in the Pediatric Population in Dubai: A Retrospective Descriptive Study 意外摄入有毒物质的儿童人口在迪拜:回顾性描述性研究

SVOA Paediatrics Pub Date : 2023-01-02 DOI: 10.58624/svoapd.2023.02.023

Mennatallah Farouk

{"title":"Accidental Ingestion of Toxic Materials in the Pediatric Population in Dubai: A Retrospective Descriptive Study","authors":"Mennatallah Farouk","doi":"10.58624/svoapd.2023.02.023","DOIUrl":"https://doi.org/10.58624/svoapd.2023.02.023","url":null,"abstract":"Introduction: The problem of childhood poisoning in Dubai remains one of the less analysed public health issues. Aim: This study aimed to describe the epidemiology, pattern, duration and the results of treatment of poisoned patients who were seen in Dubai and Latifa hospitals in Dubai, United Arab Emirates UAE, between the months of September 2017 and September 2019. Additionally, the study examined possible risk factors for childhood poisoning, response to and management of poisoning emergencies. Methodology: This retrospective descriptive study is a hospital - based study which analysed clinical profiles of children of 13 years and below taken at two health care centres within the 2 years of study for treatment of poisoning complications. Result: The study found that out of 603 poisoning cases recorded, 579 patients met the inclusion; the majority of the patients were (n=355; 61.3 %) males and (n=224; 38.7%) females. Data written on the data collection form were transferred into excel and later into SPSS. The data were analysed using frequencies and percentages, and a chi - square test was used for categorical variables. The most common toxic substances ingested by children were cosmetic and personal care products (n=130; 22%). The recorded admissions in the course of research period were 104 which accounted for 18 % of the total poisoning cases. Conclusion: This research concluded that the most common toxin ingested was personal care products and detergents. Poison ingestion was more predominant in males and children below 5 years of age. Abbreviation: UAE: United Arab Emirates.","PeriodicalId":382758,"journal":{"name":"SVOA Paediatrics","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131256918","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

Incidence of Human Leptospirosis among Scrub Typhus and Chikungunya Negative Children in West Bengal, India, 2022 2022年印度西孟加拉邦恙虫病和基孔肯雅热阴性儿童钩端螺旋体病发病率

SVOA Paediatrics Pub Date : 2022-08-26 DOI: 10.58624/svoapd.2022.01.018

R. Chatterjee, S. Sikdar, S. Chatterjee, Manjusa Chowdhury, Biswajit Das, R. Ghosh

引用次数: 0