Sudanese journal of paediatrics最新文献

A diagnostic challenge in Kawasaki disease: a case report. 川崎病的诊断挑战：1例报告。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1737638101.

Kübra Nur Erdoğan, Mustafa Gençeli, Uğur Saraç, Özge Metin Akcan, Ayşe Büşra Paydaş, Fatih Şap

{"title":"A diagnostic challenge in Kawasaki disease: a case report.","authors":"Kübra Nur Erdoğan, Mustafa Gençeli, Uğur Saraç, Özge Metin Akcan, Ayşe Büşra Paydaş, Fatih Şap","doi":"10.24911/SJP.106-1737638101.","DOIUrl":"10.24911/SJP.106-1737638101.","url":null,"abstract":"Kawasaki disease (KD) is characterised by high fever lasting more than 5 days, conjunctivitis, oedema of hands or feet, erythema of the palms and soles, polymorphic rash, cervical lymphadenopathy and alteration of oral mucosa and lips. It is most frequently seen in children between the ages of 6 months and 5 years. The diagnosis of KD remains challenging, primarily due to its incomplete presentation. In this report, we present a 3.5-month-old patient who has persistent fever and bilateral nonpurulent conjunctivitis and high acute phase reactants, diagnosed with incomplete KD and coronary aneurysm. The patient was given intravenous immunoglobulin (IVIG) at 2 g/kg with oral aspirin at 80 mg/kg/d. On follow-up 48 hours later, marked clinical improvement was observed. Monthly cardiac evaluations were performed. Echocardiogram in the 3rd month of treatment showed the internal dimension of the proximal section of the left main coronary artery measuring 3 mm (Z-score = 3.8) and the aneurysm regressed. Even if cases with prolonged fever do not meet the diagnostic criteria for KD, they should be considered as atypical KD and IVIG should be considered.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of physiological values of gastroesophageal reflux in children by using combined multi-channel intraluminal impedance and pH monitoring. 多通道腔内阻抗联合pH监测评价儿童胃食管反流的生理价值。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1736801636

Taha I Yousif

{"title":"Assessment of physiological values of gastroesophageal reflux in children by using combined multi-channel intraluminal impedance and pH monitoring.","authors":"Taha I Yousif","doi":"10.24911/SJP.106-1736801636","DOIUrl":"10.24911/SJP.106-1736801636","url":null,"abstract":"Gastroesophageal reflux (GOR) is a normal phenomenon that occurs in children and adults after meals, mostly asymptomatic and lasting less than 3 minutes. The prevalence is 50% and 5% at 3 months and 1 year of age, respectively. Diagnosis is with multi-channel intraluminal impedance-pH (MII-pH) study. Our aim is to evaluate the physiological values of MII-pH in children less than 16 years of age. Two groups, infants less than 1 year old and older children 1-16 years, were studied separately. We also studied group 1-6 years of age to study the age effect. We used the MII-pH analysis results of patients with no risk factors for Gastroesophageal reflux disease (GORD) who were referred for assessment of GORD during the study period to calculate the mean ± 2SD deviations (or the median if data are skewed), which we propose to be the near-normal values. Out of 1,183 patients, 849 were enrolled. Data distribution was skewed. We found that our population's values are in general different from the currently used ones. Our data showed that total reflux episodes (in the children group only), acid exposure time and percentage of exposure more than 5 minutes (in both groups) are all higher than the currently used values. We found no age effect between older and young children 1-6 years of age. To our knowledge, this is the largest study to assess normal values of GOR in paediatrics to date. Our study showed that currently used values could over-diagnose GORD in children.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"48-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A congenital disease with subsequent leishmaniasis requires infectiological and genetic tests for clarification. 伴有利什曼病的先天性疾病需要进行感染和基因检测以澄清。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1737825969

Josef Finsterer

引用次数: 0

Subdural hematomas in children under 2 years: insights from a tertiary hospital in Saudi Arabia. 2岁以下儿童硬膜下血肿：来自沙特阿拉伯一家三级医院的见解。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1738253269

Hamad Abdullah Alkhalaf, Meshari Alquayt, Mohammed Alhalafi, Abdulrahman Aljuraisi, Mohammed Alfurayh, Hesham Alshaalan, Tariq Aljared, Maha Almuneef

{"title":"Subdural hematomas in children under 2 years: insights from a tertiary hospital in Saudi Arabia.","authors":"Hamad Abdullah Alkhalaf, Meshari Alquayt, Mohammed Alhalafi, Abdulrahman Aljuraisi, Mohammed Alfurayh, Hesham Alshaalan, Tariq Aljared, Maha Almuneef","doi":"10.24911/SJP.106-1738253269","DOIUrl":"10.24911/SJP.106-1738253269","url":null,"abstract":"Head trauma, in general, can lead to several life-threatening complications including subdural hematoma (SDH). Trauma is the most common cause in children less than 2 years of age, which can be non-inflicted or inflicted. To differentiate between inflicted and non-inflicted SDH in children <2 years of age, a retrospective study of children with SDH managed at King Abdullah Specialized Children Hospital in Riyadh, Saudi Arabia, from 2014 to 2019 was performed. Data were collected from the electronic hospital system and the Suspected Child Abuse and Neglect team records. Sixty-three patients aged <2 years with SDH were included. Of these, 17 (27%) were due to abusive head trauma and 46 (73%) were non-inflicted; 23 (50%) fall, 13 (28%) medical reasons, and six (9.5%) motor vehicle accidents. Most were male (43; 68.3%), and 20 (32%) were female. Children with inflicted injuries were predominantly males (p = 0.018). Children with inflicted SDH have severe symptoms and worse outcomes compared to other causes of SDH.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"37-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurocysticercosis induced dystonia in a pediatric patient: a deeper dive into the pathophysiology. 小儿神经囊虫病诱发肌张力障碍：病理生理学的深入研究。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1738430376

Kevan English

引用次数: 0

Atypical presentation and response to treatment in scrub typhus: a series of 2 cases. 恙虫病的非典型表现和治疗反应：2例系列病例。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1741020814

Mahmood Dhahir Al-Mendalawi

引用次数: 0

Clinical presentation, management and outcome of scorpion sting in pediatric age group of 1-15 years in Kassala State, Sudan. 苏丹卡萨拉州1-15岁儿童蝎子蜇伤的临床表现、处理和结果

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1743938064

Satti Abdelrahim Satti, Samia Khalil Mohamed

{"title":"Clinical presentation, management and outcome of scorpion sting in pediatric age group of 1-15 years in Kassala State, Sudan.","authors":"Satti Abdelrahim Satti, Samia Khalil Mohamed","doi":"10.24911/SJP.106-1743938064","DOIUrl":"10.24911/SJP.106-1743938064","url":null,"abstract":"Scorpions are venomous arthropods with approximately 100 scorpion species worldwide. Scorpion stings (SSs) primarily occur due to accidental contact and are more common in children. SS resulting in envenomation is a life-threatening emergency and causes serious health problems in tropical and subtropical regions. Medically significant scorpion envenomation (SE) is almost always associated with intense localized pain. Systemic effects may occur in fewer cases. The severity of SE is classified as minor, moderate or severe, and treatment strategies are based on this grading. Deaths are usually due to cardiogenic shock and pulmonary oedema. This is a descriptive, observational, cross-sectional and hospital-based study aiming for the clinical presentation and outcome of SS among children aged 1-15 years in Kassala Teaching and Specialized Hospital, Sudan. Data were entered and analysed using SPSS version 27.0. A total of 76 children were included, with a male-to-female ratio of 1:1. The Majority of stings occurred in children aged 1-5 years (42.1%) and in rural areas (75%). The most common symptom was pain at the sting site (84.2%), hyperemia (85.5%) and sweating (53.9%). The lower extremities were the most frequent sites of envenomation, in 46.1%. Stings were predominantly reported at night, in 63.2%. The clinical outcomes were graded, with most of cases classified as minor (Grade I, 44.7%). Two-thirds of children (65.8%) fully recovered. The mortality rate was 14.5%. Causes of death were cardiogenic shock, seizures, respiratory failure and multiorgan failure. Delayed presentation and severe systemic manifestations contribute to increased mortality risk.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spinal dural arteriovenous fistula in a child: a rare presentation. 小儿硬脊膜动静脉瘘：罕见的表现。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1748905758

Mesha L Martinez, Philippe Gailloud

引用次数: 0

A challenging diagnosis in a Down syndrome child presenting with hemiparesis: atlantoaxial subluxation. 一个具有挑战性的诊断唐氏综合症儿童呈现偏瘫：寰枢半脱位。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1736272418

Talha Ustuntas, Saliha Yavuz Eravcı, Burcu Calıskan, Ahmet S Guven, Huseyin Caksen

{"title":"A challenging diagnosis in a Down syndrome child presenting with hemiparesis: atlantoaxial subluxation.","authors":"Talha Ustuntas, Saliha Yavuz Eravcı, Burcu Calıskan, Ahmet S Guven, Huseyin Caksen","doi":"10.24911/SJP.106-1736272418","DOIUrl":"10.24911/SJP.106-1736272418","url":null,"abstract":"Atlantoaxial subluxation (AAS), while uncommon in the general population, occurs more frequently in children with Down syndrome (DS). This association is attributed to the presence of connective tissue laxity, which affects approximately 15%-20% of individuals with DS. A 12-year-old female patient with known classical DS presented to a healthcare institution with complaints of vomiting and inability to walk. Physical examination revealed moderate to severe intellectual disability and limited verbal communication. Facial features included DS characteristics such as low-set ears and a flattened nasal bridge. Neurologic examination demonstrated weakness in the left upper and lower limbs (1-2/5 on muscle strength testing), increased deep tendon reflexes on the left side, and an extensor plantar response (Babinski sign). Neuroimaging studies revealed no cranial abnormalities. Brain MRI, however, demonstrated an increased atlantoaxial joint distance (10 mm) on the sagittal image, suggestive of AAS. Additionally, the MRI showed anterior compression of the odontoid process on the spinal cord, indicating potential for spinal cord compression. While cerebrovascular events are the most common cause of hemiparesis, health professionals should keep in mind AAS as a potential culprit in patients with DS with limited communication and cognitive abilities. In such cases, prompt investigation and evaluation are essential, as early surgical intervention can significantly improve outcomes and prevent permanent neurological damage. This case highlights the importance of considering the specific needs and challenges faced by patients with DS in the diagnostic and therapeutic process.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge and attitude regarding breastfeeding among antenatal mothers. 产前母亲对母乳喂养的知识和态度。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1738522449

Ekansh Rathoria, Richa Rathoria, Utkarsh Bansal, Anjana Agarwal

{"title":"Knowledge and attitude regarding breastfeeding among antenatal mothers.","authors":"Ekansh Rathoria, Richa Rathoria, Utkarsh Bansal, Anjana Agarwal","doi":"10.24911/SJP.106-1738522449","DOIUrl":"10.24911/SJP.106-1738522449","url":null,"abstract":"Breastfeeding knowledge and attitude are absolutely necessary for antenatal mothers. This study aimed to assess antenatal mothers' breastfeeding knowledge and attitudes and their association with sociodemographic characteristics. This cross-sectional study was done among antenatal mothers using semi-structured interviewer-administered questionnaire. Twenty-four knowledge-related questions scored one mark for each correct response and zero for incorrect. Scores achieved between 17-24, 9-16, and 0-8 were grouped as adequate, average, and inadequate knowledge, respectively. For assessing attitude, on the Iowa Infant Feeding Attitudes Scale, 17 questions were graded on a 5-point Likert scale ranging from 1 to 5. Scores achieved between 70-85, 49-69, and 17-48 were grouped as positive about breastfeeding, neutral, and positive about formula feeding, respectively. Descriptive statistics and chi-square tests were used to analyze data. The p-value = 0.040). Breastfeeding knowledge was inadequate in more than one-third of the expectant women which signifies the importance of scaling up the counseling about the advantages and management of breastfeeding.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"24-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0