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Bacteremia associated with non-tunneled central venous catheters in children undergoing chronic hemodialysis. 接受慢性血液透析治疗的儿童中与非隧道式中心静脉导管相关的菌血症。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-03-14 DOI: 10.5546/aap.2023-10259.eng
Diana Di Pinto, Marta Adragna, Jorge Mamani, Laura Mendoza, Gabriel Maita, Silvia Rodríguez, Marcela Álvarez, Rudy Bustamante, Pablo D'Alessandro, Laura López
{"title":"Bacteremia associated with non-tunneled central venous catheters in children undergoing chronic hemodialysis.","authors":"Diana Di Pinto, Marta Adragna, Jorge Mamani, Laura Mendoza, Gabriel Maita, Silvia Rodríguez, Marcela Álvarez, Rudy Bustamante, Pablo D'Alessandro, Laura López","doi":"10.5546/aap.2023-10259.eng","DOIUrl":"10.5546/aap.2023-10259.eng","url":null,"abstract":"<p><p>Introduction. Central venous catheter (CVC)-related infection is the main complication observed in patients undergoing hemodialysis with this type of venous access. Objective. To estimate the incidence of non-tunneled CVC-related bacteremia, analyze the frequency of causative agents, and explore associated risk factors in children undergoing hemodialysis. Population and methods. Retrospective study in children receiving hemodialysis via a non-tunneled CVC between June 1st, 2015 and June 30th, 2019. A logistic regression was carried out to assess risk factors that were predictors of CVC-related bacteremia. Independent risk factors were described as odds ratios with their corresponding 95% confidence interval (CI). A value of p < 0.05 was considered statistically significant. Results. A total of 121 non-tunneled CVCs were included in this study. The incidence of bacteremia was 3.15 per 1000 catheter-days. The most commonly isolated microorganism was Staphylococcus epidermidis (16 cases, 51.5%). Prior catheter infection was the only independent risk factor for the development of bacteremia associated with non-tunneled CVC (OR: 2.84, 95% CI: 1.01-7.96, p = 0.04). Conclusions. Prolonged use of non-tunneled CVCs for chronic hemodialysis was associated with a low incidence of bacteremia. Gram-positive microorganisms prevailed among causative agents. A prior CVC infection almost trebled the risk for CVC-related bacteremia in our pediatric population receiving hemodialysis.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310259"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140058520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Slipping rib syndrome in childhood. A case series. 儿童肋骨滑脱综合征。系列病例。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-03-21 DOI: 10.5546/aap.2023-10141.eng
Víctor Álvarez-Muñoz, Ángeles Prado, Nataliz Vega, David Crehuet, Laura Sánchez, Luis Vega
{"title":"Slipping rib syndrome in childhood. A case series.","authors":"Víctor Álvarez-Muñoz, Ángeles Prado, Nataliz Vega, David Crehuet, Laura Sánchez, Luis Vega","doi":"10.5546/aap.2023-10141.eng","DOIUrl":"10.5546/aap.2023-10141.eng","url":null,"abstract":"<p><p>Among the causes of chest pain, slipping rib has a low prevalence, usually with a history of trauma, and its management is controversial. Slipping rib syndrome should be included in the differential diagnosis of causes of chest pain in children. When not associated with previous trauma and cartilage deformity, it is necessary to consider an alteration in rib development, regardless of the typical traumatic etiology in adults. Here we describe a series of pediatric patients with slipping rib seen at a referral hospital between 2001 and 2022. Nine patients aged 11 to 16 years were included. Only 2 had a history of trauma. All patients described a sudden onset of severe thoracic abdominal pain. The patients underwent open resection of the affected costal cartilages, with resolution of pain.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310141"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What may Pygmies teach us about short stature in very preterm infants? 俾格米人对早产儿身材矮小有何启示？
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.5546/aap.2024-10367.eng
Eduardo Cuestas, Alina Rizzotti
{"title":"What may Pygmies teach us about short stature in very preterm infants?","authors":"Eduardo Cuestas, Alina Rizzotti","doi":"10.5546/aap.2024-10367.eng","DOIUrl":"10.5546/aap.2024-10367.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410367"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mnemonics for the use and interpretation of amplitude-integrated electroencephalography in newborn infants. 新生儿振幅积分脑电图的使用和解释记忆法。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-06-06 DOI: 10.5546/aap.2024-10340.eng
César G Sánchez-Acosta
{"title":"Mnemonics for the use and interpretation of amplitude-integrated electroencephalography in newborn infants.","authors":"César G Sánchez-Acosta","doi":"10.5546/aap.2024-10340.eng","DOIUrl":"10.5546/aap.2024-10340.eng","url":null,"abstract":"<p><p>An electroencephalography (EEG) has always been considered a specialized field, whose use and interpretation requires training. For this reason, access to these monitoring studies has been restricted to neurologists and neurophysiologists. Newborn infants admitted to the neonatal intensive care unit (NICU) require neurophysiological monitoring to establish their diagnosis and prognosis, so a simple and accessible tool is required for NICU staff. Such features have been covered by amplitude-integrated electroencephalography (aEEG), which, through simple visual patterns of brain activity, allows to approach neurological conditions. The objective of this study is to help with the management of mnemonics that facilitate the identification of normal and pathological visual patterns in an aEEG. Although simple in appearance, this nomenclature is intended to create an easy-to-understand idea of basic concepts for the use and interpretation of neurophysiological monitoring with aEEG.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410340"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital cortical hyperostosis: a rare cause of inconsolable crying in a baby. Clinical case report. 先天性皮质过度增生症：婴儿哭闹不止的罕见原因。临床病例报告。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-01-04 DOI: 10.5546/aap.2023-10220.eng
Ana Braslavsky, María E López
{"title":"Congenital cortical hyperostosis: a rare cause of inconsolable crying in a baby. Clinical case report.","authors":"Ana Braslavsky, María E López","doi":"10.5546/aap.2023-10220.eng","DOIUrl":"10.5546/aap.2023-10220.eng","url":null,"abstract":"<p><p>Here we describe the case of a 2-month-old infant who consulted several times due to excessive crying, initially interpreted as having a gastrointestinal cause. Since the symptom persisted, a fracture was suspected due to its association with mobilization of the limbs and palpation of a mass on the anterior aspect of the right tibia. X-rays showed diaphyseal polyostotic involvement and lesions compatible with cortical involvement of long bones. Caffey-De Toni-Silverman syndrome was diagnosed and treatment with nonsteroidal anti-inflammatory drugs was initiated, resulting in symptom remission. Subsequently, the diagnosis was confirmed by the identification of the pathogenic heterozygous variant COL1A1. This is a rare condition with an estimated incidence of 48/100 000 individuals, and less than 150 cases have been described to date.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310220"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eosinophilic cellulitis (Wells' syndrome) in a female pediatric patient. 一名儿科女病人的嗜酸性细胞性蜂窝织炎（韦尔斯综合征）。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-03-21 DOI: 10.5546/aap.2023-10187.eng
María J Aráoz, María M Buján, María Del V Centeno, Andrea B Cervini
{"title":"Eosinophilic cellulitis (Wells' syndrome) in a female pediatric patient.","authors":"María J Aráoz, María M Buján, María Del V Centeno, Andrea B Cervini","doi":"10.5546/aap.2023-10187.eng","DOIUrl":"10.5546/aap.2023-10187.eng","url":null,"abstract":"<p><p>Wells' syndrome, or eosinophilic cellulitis, is an inflammatory disease of unknown origin, uncommon in the pediatric age. It usually appears clinically as erythematous and edematous plaques, nodules, papules, blisters, among other symptoms. Here we describe the case of a female pediatric patient with generalized, asymptomatic subcutaneous nodules associated with severe eosinophilia. The histopathological examination of the lesions was compatible with Wells' syndrome. An interdisciplinary evaluation was performed to establish the cause and look for associated eosinophilic disorders; the results were negative. Systemic corticosteroids were indicated and the patient had a good response; however, in view of the recurrence of the lesions after treatment discontinuation, dapsone was indicated as a second-line treatment, with subsequent improvement of the lesions and eosinophilia. The aim of this report was to describe the case of a female patient with an atypical manifestation of Wells' syndrome and the resulting therapeutic challenge.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310187"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Herlyn-Werner-Wünderlich syndrome: Two case report. Herlyn-Werner-Wünderlich 综合征：两例报告
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-01-18 DOI: 10.5546/aap.2023-10138.eng
Victoria Fontana, Gabriela S Aboud, Liliana Sabbaj
{"title":"Herlyn-Werner-Wünderlich syndrome: Two case report.","authors":"Victoria Fontana, Gabriela S Aboud, Liliana Sabbaj","doi":"10.5546/aap.2023-10138.eng","DOIUrl":"10.5546/aap.2023-10138.eng","url":null,"abstract":"<p><p>Herlyn-Werner-Wunderlich syndrome, also known as obstructed hemivagina and ipsilateral renal anomaly (OHVIRA), is a rare, congenital Müllerian duct anomaly characterized by the association of septate uterus, obstructed hemivagina, and ipsilateral renal agenesis. The most common clinical presentation is an abdominal mass secondary to hematocolpos, pain, and dysmenorrhea. It is associated with infertility, endometriosis, and menstrual and obstetric alterations. The ultrasound is the technique of choice for the initial assessment, while the magnetic resonance imaging remains the most accurate method for diagnosis. The resection of the vaginal septum is the recommended treatment. Here we describe 2 clinical cases to highlight the importance of an early diagnosis to prevent potential complications in the future.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310138"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139401619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enteric viruses other than rotavirus and norovirus in children under 5 years of age with gastroenteritis in Argentina, 2010-2021. A descriptive study. 2010-2021 年阿根廷 5 岁以下儿童肠胃炎患者中轮状病毒和诺如病毒以外的肠道病毒。描述性研究。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-03-14 DOI: 10.5546/aap.2023-10148.eng
Juan I Degiuseppe, María T Soto, Christian Barrios Mathieur, Karina A Gomes, Juan A Stupka
{"title":"Enteric viruses other than rotavirus and norovirus in children under 5 years of age with gastroenteritis in Argentina, 2010-2021. A descriptive study.","authors":"Juan I Degiuseppe, María T Soto, Christian Barrios Mathieur, Karina A Gomes, Juan A Stupka","doi":"10.5546/aap.2023-10148.eng","DOIUrl":"10.5546/aap.2023-10148.eng","url":null,"abstract":"<p><p>Introduction. Data on the frequency of enteric adenoviruses, sapoviruses, and astroviruses in cases of sporadic acute gastroenteritis in Argentina are scarce. Methods. Descriptive design of a selection of fecal samples of children with diarrhea younger than 5 years referred between 2010 and 2021, with a previous negative result for rotavirus and norovirus. The presence of enteric adenovirus, sapovirus, and astrovirus was tested by molecular methods, with subsequent genotyping of positive samples. Results. At least 1 of the tested viruses was detected in 226 (39.4%) of the 574 selected samples. Specifically, adenovirus, sapovirus, and astrovirus were detected in 30.7%, 5.6%, and 3.1% of the samples, respectively. The most frequent viruses detected were adenovirus 41, sapoviruses GI.1 and GI.2, and astrovirus 1. Non-classic astroviruses were detected in 2 samples. Conclusions. Despite being less frequent, these enteropathogens are responsible for a large number of sporadic diarrhea events. Therefore, their study and surveillance contribute significantly to reduce the gap of undiagnosed cases.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310148"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140064733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tumors of the central nervous system. Classification of the World Health Organization 2021. Towards a paradigm shift. 中枢神经系统肿瘤。世界卫生组织 2021 年分类。实现范式转变。
IF 0.8 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-03-21 DOI: 10.5546/aap.2023-10219.eng
Ramiro J Del Río, Santiago E Cicutti, Javier D González Ramos
{"title":"Tumors of the central nervous system. Classification of the World Health Organization 2021. Towards a paradigm shift.","authors":"Ramiro J Del Río, Santiago E Cicutti, Javier D González Ramos","doi":"10.5546/aap.2023-10219.eng","DOIUrl":"10.5546/aap.2023-10219.eng","url":null,"abstract":"<p><p>The study of central nervous system (CNS) tumors is a subject of great interest and such knowledge is of great importance in medical practice. The classifications of CNS neoplasms began in the mid-19th century, until the World Health Organization (WHO) published, in 1979, the first edition of a useful systematic review for the purpose of establishing a common language for all medical specialties. To date, 5 updated editions of neoplastic taxonomy have been published. The fifth edition, from 2021, consolidates the paradigm shift brought about by molecular advances, although the transition between morphological and molecular biological characterization is still in progress. In this article, the new modifications introduced in the different most frequent families of tumors in pediatrics are analyzed, emphasizing useful information for pediatricians in their daily practice and multidisciplinary consultations.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310219"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological study of allergic rhinitis in a population of children seen at the Department of Pediatrics of a general hospital. Cross-sectional study. 一家综合医院儿科就诊儿童过敏性鼻炎的流行病学研究。横断面研究。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2024-08-01 Epub Date: 2024-02-01 DOI: 10.5546/aap.2023-10173.eng
Natalia A Petriz, Carolina Antonietti, Cecilia Parente, Claudio A S Parisi
{"title":"Epidemiological study of allergic rhinitis in a population of children seen at the Department of Pediatrics of a general hospital. Cross-sectional study.","authors":"Natalia A Petriz, Carolina Antonietti, Cecilia Parente, Claudio A S Parisi","doi":"10.5546/aap.2023-10173.eng","DOIUrl":"10.5546/aap.2023-10173.eng","url":null,"abstract":"<p><p>Introduction. Allergic rhinitis (AR) is one of the most frequent chronic diseases in the pediatric population; it affects the quality of life of children and their families, has economic impact, and is frequently underdiagnosed and undertreated. Given the scarcity of local data, here we describe the prevalence of AR and the clinical characteristics of the study population. Population and methods. Observational, cross-sectional study in patients younger than 19 years. Results. A total of 250 patients were randomly included; their mean age was 9 years (SD: 5). AR was diagnosed in 14 of them. The prevalence of AR was 6%. Conclusions. The prevalence of AR in our setting was 6%. AR should be given the relevance it deserves so as to provide an adequate diagnosis and treatment.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310173"},"PeriodicalIF":0.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139545590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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