The Internet journal of pediatrics and neonatology最新文献

{"title":"Scurvy Presenting As Pseudoparalysis Without Other Classical Clinical Features : A Case Report","authors":"K. Umesh, K. Shilpa","doi":"10.5580/90b","DOIUrl":"https://doi.org/10.5580/90b","url":null,"abstract":"A 28 months old boy presented in the casualty for evaluation of lower limb weakness and difficulty in walking since last 2 weeks and being referred as acute flaccid palsy suspected as Guillen Barre Syndrome for further management. The clinical presentation and imaging findings, together with the dramatic response to ascorbic acid intake, allowed us to confirm the diagnosis of infantile scurvy.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70825847","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":"Esophageal atresia with distal tracheoesophageal fistula with gasless abdomen: a diagnostic dilemma","authors":"Zaheer Hasan, V. Upadhyaya, Punit K Srivastava, S. Sharma, A. Gangopadhyay","doi":"10.5580/101d","DOIUrl":"https://doi.org/10.5580/101d","url":null,"abstract":"A “gasless abdomen” in babies with esophageal atresia (EA) has traditionally been thought to imply absence of a distal tracheoesophageal fistula (TEF). We present 2 cases with gasless abdomen and later turned out to be cases of esophageal atresia with tracheoesophageal fistula. These cases are presented because of its extreme rarity and because of ease in management if the condition is diagnosed preoperatively.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70811272","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":"Jejunal Atresia and Cystic Fibrosis in a Newborn Male Infant: A Case Report","authors":"P. Katzman, Juan F. Villalona, T. Rossi, Marilyn R. Brown","doi":"10.5580/177","DOIUrl":"https://doi.org/10.5580/177","url":null,"abstract":"Intestinal atresia is largely a surgical disease and therefore most case reports have been the subjects of surgical reports. We present a case of an infant with cystic fibrosis associated with meconium ileus and jejunal atresia with histologic evidence supporting the vascular accident theory.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70814120","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":"Pediatric intussusception: A Case Series and Literature Review","authors":"Carol Pineda, Madhu D Hardasmalani","doi":"10.5580/2077","DOIUrl":"https://doi.org/10.5580/2077","url":null,"abstract":"Background: Intussusception is the major cause of acute intestinal obstruction in infants. The classic clinical triad of intussusception is colicky abdominal pain, vomiting and bloody stools. However, only 20% of patients present with this triad. Objectives: The objective of this article with a series of cases of intussusception is to review the spectrum of clinical presentation of this disease entity. Methods and Results: We describe 3 patients with intussusception that presented to our Emergency Department (ED) with different complaints. Also this article reviews diagnosis and management strategies of intussusception. Conclusions: Clinical suspicion is the key for diagnosis. This article highlights the importance of suspecting intussusception by the ED physician in any child with abdominal pain, gastrointestinal symptoms or altered mental status.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70817363","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":"Transient Hyper-Ammonemia of Newborn; a case report","authors":"Suksham Jain, D. Chawla","doi":"10.5580/2570","DOIUrl":"https://doi.org/10.5580/2570","url":null,"abstract":"A 5 days old neonate, born in hospital, by vaginal route, at 35 weeks of gestation, to a primi-gravida mother, with regularly supervised antenatal period. There was no history of consanguinity, maternal or obstetrical illness. Chief complaints on day of admission were refusal to feed, poor sucking, and lethargy for 2 days. Fever, decreased urine output, icterus, vomiting, unconsciousness and seizures were absent. APGAR score was 8, 9 at 1 and 5 minutes. The child weighed 2030 grams at birth and was exclusively breastfed till admission. On examination","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70819506","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":"Neonatal Meningitis Together With 11-Beta Hydroxylase Enzyme Deficiency: A Case Report","authors":"A. Çakmak, A. Ataş, I. Altuntaş, H. Karazeybek","doi":"10.5580/2588","DOIUrl":"https://doi.org/10.5580/2588","url":null,"abstract":"Congenital adrenal hyperplasia is a disease which results in autosomal recessive transition with deficiency of the necessary enzymes for cortisole synthesis from cholesterol. The most frequently deficient enzyme is 21-hydroxylase and the second most common is 11-beta hydroxylase. A deficiency of 11-beta hydroxylase is seen in 5 -8% of congenital adrenal hyperplasia cases. An increase in androgyny develops depending on the clinical findings. Neonatal meningitis is an important central nervous system infection because of morbidity and mortality. Of all age groups, meningitis is most commonly seen in neonates. This study presents the case of a 20-day old baby who presented at our emergency department with neonatal sepsis and meningitis, then on physical examination was seen to have ambiguous genitalia and investigative tests resulted in a diagnosis of 11-beta hydroxylase deficiency.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70819550","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":"Aloe vera induced oral mucositis: a case report","authors":"K. Chinnusamy, Thiyagarajan Nandagopal, Kamalarathnam Nagaraj, S. Sridharan","doi":"10.5580/347","DOIUrl":"https://doi.org/10.5580/347","url":null,"abstract":"Aim: To report a probable case of Aloe vera induced oral mucositis in a two year old child. Case summary: A two years old female child brought to our emergency department with a severe form of oral mucositis. History from her mother revealed that the child had chewed the fleshy stalk of an Aloe vera plant leaf that grows in her garden. On the following day the child developed a severe form of oral mucositis and dermatitis of the peri-oral skin without much of constitutional symptoms. The child improved with symptomatic treatment. Discussion: The probability of etiological association is analyzed with the help of Naranjo Probability Scale which showed Aloe vera to be the “Probable” cause of mucositis in this child. Conclusion: Aloe vera, although has many healing properties, serious adverse reactions are also possible and has to borne in mind. A two years old previously normal female child was brought to our pediatric department with severe stomatitis (figure 1). She developed the lesion overnight without much systemic manifestations. Fig. 2 & 3 shows the course of recovery of the child in one week. Figure 1 Figure 1: Presentation on day 1: Shows severe mucositis of oral mucosa and dermatitis of the peri-oral skin. Figure 2 Figure 2: Presentation on day 3: Shows improvement with conservative management. Aloe vera induced oral mucositis: a case report 2 of 5 Figure 3 Figure 3: Presentation on day 5: The lesion healed with a post inflammatory hypopigmented area. Figure 4 Figure 4: Aloe Leaf brought by the mother. DISCUSSION ALOE VERA INDUCED IRRITANT CONTACT MUCOSITIS History from the mother revealed that on the previous evening she found her child chewing the fleshy leaf of an Aloe vera plant growing in her garden. She immediately removed it from her mouth and made a thorough rinsing with water. The child did not have any immediate local manifestations. On the following morning the child developed a severe form of oral mucositis and dermatitis of the peri-oral skin. The child had no systemic manifestations. History were negative for any infection in the recent past or any drug in-take prior to onset of the event. The child was on her regular food habits. CLINICAL EXAMINATION On general examination, she was moderately built, afebrile and conjunctival mucosa appeared slightly pale. No evidence of jaundice or generalized lymphadenopathy. Vital parameters were within normal limits. Systemic examination was normal. LOCAL EXAMINATION OF THE ORAL CAVITY Oral cavity showed severe mucositis involving the lips and buccal mucosa. The lesion appeared boggy and erythematous with few areas of pin point hemorrhages. The skin of the peri-oral area which came in contact with the aloe vera juice also showed dermatitis. No significant regional lymphadenitis noted. INVESTIGATIONS Complete Blood count and peripheral blood smear showed microcytic, hypochromic anemia and a normal leukocyte count. Renal, Liver function test and serum proteins estimations were within norma","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70822871","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":"Mild Postnatal Hydronephrosis Is Not Associated With Increased Vesicoureteral Reflux","authors":"S. Mathew, E. Abdelsalam, J. Saslow, B. Amendolia, Tarek Nakhla, N. Nakhla, N. Razi, G. Stahl, Z. Aghai","doi":"10.5580/40","DOIUrl":"https://doi.org/10.5580/40","url":null,"abstract":"Background: Antenatal hydronephrosis is known to be associated with vesicoureteral reflux (VUR). However, the incidence of VUR in postnatally diagnosed hydronephrosis is unknown. Hypothesis: The prevalence of VUR is increased in infants diagnosed with hydronephrosis on postnatal ultrasonography. Methods: Infants admitted to our NICU between January 1998 and September 2007 and diagnosed with hydronephrosis on postnatal ultrasonograpy were included. Results: One hundred thirty six infants were diagnosed with hydronephrosis by postnatal ultrasound and qualified for the study. Ninety two infants (67.7%) had grade I hydronephrosis, 34 infants grade II hydronephrosis (25%), 9 grade III hydronephrosis (6.6%) and one infant (0.7%) had grade IV hydronephrosis. Voiding cystourethrograms (VCUG) were performed on 90 infants (66.2%). Only 2 infants (2.2%) had VUR. Both of the infants who had VUR also had other associated major congenital anomalies. Conclusion: Mild postnatal hydronephrosis in our study population was not associated with an increased incidence of VUR.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70823151","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":"Assessment of undernutrition by mid-upper arm circumference amongPre-school children of Arambag, Hooghly District, West Bengal, India:An observational study.","authors":"G. Mandal, K. Bose","doi":"10.5580/940","DOIUrl":"https://doi.org/10.5580/940","url":null,"abstract":"A cross sectional observational study of 894 children (441 boys and 453 girls) was undertaken at 20 Integrated Child Development Services (ICDS) Scheme Centres to determine their nutritional status using mid-upper arm circumference (MUAC) in Bali Gram Panchayet, Arambag, Hooghly District of West Bengal, India. The study area consists of remote villages located approximately 100 km from Kolkata, the provincial capital of West Bengal. Information on age and ethnicity (all were of Bengalee Hindu ethnicity) of the children were collected from their parents following face to face interview and verified from official records. The measurement (in centimeters) was taken by the first author (GCM) following the standard technique. Nutritional status was determined following the World Health Organization age and sex-specific cut-off points. Results revealed that mean MUAC among boys was higher than girls at all ages except 5 years. Significant sex differences were observed at ages 3 (p < 0.005) and 4 (p < 0.05) years. The age-combined rates of overall (moderate + severe) undernutrition were similar in both sexes (boys = 66.2%; girls = 62.9%). This result implied that both the sexes were experiencing similar nutritional stress. The age-combined rates of moderate (boys = 57.4%; girls = 51.7%) and severe (boys = 8.8%; girls = 11.2%) undernutrition were also similar in both sexes. In general, there was an increasing trend in the rates of overall undernutrition from 3 to 5 years in both sexes. years affected by severe and moderate acute malnutrition were 44.85%, 18.07% and 2.29% respectively. In conclusion, our study clearly indicated that the nutritional status of these pre-school children was serious with very high rates of undernutrition in both sexes. Thus, it seems that there is scope for much improvement in the form of enhanced supplementary nutrition than what is currently being offered by the ICDS scheme in Arambag, Hooghly District of West Bengal. Therefore, it is imperative that the ICDS authorities urgently consider the enhancement of the supplementary nutrition being currently given to them. Funding: Gopal Chandra Mandal received financial assistance in the form of a Minor Research Project from the University Grants Commission, Government of India.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70825719","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":"Esophageal Foreign Body Presenting As Repiratory Distress","authors":"A. Garg, R. Wadhera, S. P. Gulati, A. Ghai, Kuljeet Singh","doi":"10.5580/28d1","DOIUrl":"https://doi.org/10.5580/28d1","url":null,"abstract":"Aerodigestive tract foreign bodies are common place occurrences in paediatric population and impose diagnostic and therapeutic challenge for otolaryngologists. Several mechanisms have been proposed to explain respiratory symptoms secondary to esophageal foreign bodies. Authors are reporting a case of respiratory stridor in a one year old child resulting from sharp penetrating foreign body in cricopharyngeal area.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70820437","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}