International Journal of Contemporary Pediatrics最新文献

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Pleural effusion in a pediatric ward: clinical feature, etiology and outcome 儿科病房的胸腔积液：临床特征、病因和结果

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240085

Mohammad Ahad Adnan, M. D. Hossain, M. R. Haque, Tania Islam, Ifthakhar Ahmed, Uttam Kumar Datta

{"title":"Pleural effusion in a pediatric ward: clinical feature, etiology and outcome","authors":"Mohammad Ahad Adnan, M. D. Hossain, M. R. Haque, Tania Islam, Ifthakhar Ahmed, Uttam Kumar Datta","doi":"10.18203/2349-3291.ijcp20240085","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240085","url":null,"abstract":"Background: Pleural effusion is a common respiratory complication in children. We aimed to document clinical feature, etiology, biochemical parameters and outcome of the admitted children with pleural effusion.\u0000Methods: This cross-sectional study was conducted from January 2022 to June 2023 at pediatric ward of ICMH. All children from 6 months to 14 years presented with clinical features suggestive of pleural effusion and later supported by radiology and ultrasonography of chest either at presentation or owing to other systemic illness were enrolled. Children aged below 6 months, associated chronic illness and parental denial of giving consent were excluded. In indicated cases pleural fluid was tapped and sent to laboratory for physical, biochemical examination, staining, culture, GeneXpert, LDH and ADA assay. \u0000Results: Out of 43 children, 19 underwent pleural tap and rest were managed conservatively. Most of the children were in between 2 to 6 years. There were 22 male and 21 female. Unilateral effusion was found in 25 children and 18 children developed bilateral effusion. All the children had documented fever. Other symptoms were cough, respiratory distress, chest pain, weight loss, abdominal pain, jaundice and blood mixed sputum. Physical signs correlated classical effusion features. The etiologies included DF, TB, para-pneumonic effusion, empyema, nephrotic syndrome, malignancy, acute viral hepatitis, heart failure and acute pancreatitis. There was no mortality and long-term complication in non-malignant cases.\u0000Conclusions: DF outnumbered other causes of pleural effusion in recent times owing to recent Dengue outbreak. Tubercular effusion was leading cause among cases undergoing pleural tap. ","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"65 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140495829","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

Assessment of the prevalence of meningitis in clinically suspected cases of early and late onset neonatal sepsis 评估早期和晚期新生儿败血症临床疑似病例中脑膜炎的发病率

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240090

C. P. Singh, Swadha Seep

{"title":"Assessment of the prevalence of meningitis in clinically suspected cases of early and late onset neonatal sepsis","authors":"C. P. Singh, Swadha Seep","doi":"10.18203/2349-3291.ijcp20240090","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240090","url":null,"abstract":"Background: Meningitis is more common in the neonatal period than any other time in life and is an important cause of morbidity and mortality globally. In India, rate of neonatal sepsis is reported 0.5 per 1000 live births. The major burden of neonatal sepsis and meningitis occurs in the developing world. According to WHO estimates there are approximately 5 million neonatal deaths in a year. The objective of the study is to assess the prevalence of meningitis in neonates with clinical suspicion of sepsis.\u0000Methods: The study was conducted among suspected cases of neonatal septicemia in neonatal intensive care unit (NICU), department of pediatrics, VPIMS, Lucknow. It is a prospective observational study. A total of 180 neonates were included in the study.\u0000Results: Out of 180 neonates, CSF examination of 131 (72.78%) neonates was normal, of 37 (20.56%) was suggestive of meningitis. Prevalence of meningitis in neonatal sepsis was 20.0%. It was 18.0% in early neonatal sepsis and 32.6% in late neonatal sepsis cases.\u0000Conclusions: The findings of present study suggested that there is a high risk of meningitis among neonatal sepsis cases. Cases with risk factors like twin birth, anemia, low TLC, low platelet count, acid-base imbalance and X-ray findings suggestive of pneumonitis should be kept in a high-risk category.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140495141","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

Hemophagocytic lymphohistiocytosis-a rare life threatening association with scrub typhus: case report 嗜血细胞淋巴组织细胞增多症--一种罕见的与恙虫病相关的危及生命的疾病：病例报告

International Journal of Contemporary Pediatrics Pub Date : 2024-01-04 DOI: 10.18203/2349-3291.ijcp20240003

Arashdeep Virk, Mohit Singla, Pranay Trivedi, Prasun Bhattacharjee, Abhinav Tiwari

{"title":"Hemophagocytic lymphohistiocytosis-a rare life threatening association with scrub typhus: case report","authors":"Arashdeep Virk, Mohit Singla, Pranay Trivedi, Prasun Bhattacharjee, Abhinav Tiwari","doi":"10.18203/2349-3291.ijcp20240003","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240003","url":null,"abstract":"Scrub typhus is an important cause of acute febrile illness and one of the re-emerging infectious diseases in India particularly in southern Rajasthan. Hemophagocytic lympho-histiocytosis (HLH) results from an uncontrolled and ineffective hyperinflammatory response to a variety of triggers. HLH is further subdivided into primary and secondary type. We present a case of Scrub typhus which presented with multiple organ dysfunction syndrome (MODS) and secondary HLH which is a rare entity. A 9-month-old male child presented with high grade fever with encephalopathy. Examination showed hepatosplenomegaly, cervical Lymph adenopathy with eschar mark visible on abdomen. Scrub typhus was suspected on clinical grounds and further investigations were done. Serological diagnosis was strongly positive for scrub typhus. Initially, child did not respond to doxycycline, so further investigations were done to rule out HLH which fits into criteria of secondary HLH as per the revised HLH 2004 protocol. In view of secondary HLH and MODS methylprednisolone was added to treatment. Child responded to steroids and there was complete recovery. Scrub typhus patient with progressive MODS, in spite of appropriate antimicrobial therapy should raise the suspicion of secondary HLH which is rare but life-threatening condition and steroids plays an important role in the management of this condition.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385715","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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