Archivos argentinos de pediatria最新文献_第8页

Childhood leprosy in Buenos Aires: four cases report. 布宜诺斯艾利斯的儿童麻风病：四例报告。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.5546/aap.2024-10317.eng

Sabrina Merenzon, Ana L Costa, Cindy Frare, Jorge E Tiscornia

引用次数: 0

Minimally invasive treatment of nutcracker syndrome in a young girl. 微创治疗少女胡桃钳综合征。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-24 DOI: 10.5546/aap.2024-10424.eng

Ramiro M Pellicciari, Juan P Pérez Rossini, Andrés Kogan, Agustina García Posleman, Carlos J Vázquez

引用次数: 0

Human parvovirus B19 vertical infection and hydrops fetalis. A case report. 人类 parvovirus B19 垂直感染和胎儿水肿。病例报告。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-17 DOI: 10.5546/aap.2024-10420.eng

Gabriel A Boggio, Laura Moreno, Néstor Di Cuatro, María B Colazo Salbetti, Mauro Pedranti, Alicia González, Claudia Grandon, Carlos Resino, María P Adamo

{"title":"Human parvovirus B19 vertical infection and hydrops fetalis. A case report.","authors":"Gabriel A Boggio, Laura Moreno, Néstor Di Cuatro, María B Colazo Salbetti, Mauro Pedranti, Alicia González, Claudia Grandon, Carlos Resino, María P Adamo","doi":"10.5546/aap.2024-10420.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10420.eng","url":null,"abstract":"Non-immune hydrops fetalis represents a diagnostic challenge in high-risk pregnant women. Vertical infection with human parvovirus B19 (B19V) is a possible cause. National guidelines propose maternal serologic screening (IgG/IgM), which may be insufficient in some situations. We report a case of vertical B19V infection with difficulties in prenatal diagnosis. Preterm newborn, normal weight (2950 g), born to a 30-year-old mother with anemia and hydrops fetalis (week 17). Cardiac, chromosomal, isoimmunization-Rh, and usual infectious causes (TORCH) were ruled out. Maternal serology for B19V showed IgG+ and IgM-, and the diagnosis was dismissed. The newborn presented abdominal distension (ascites), anemia, and jaundice. Postnatal results confirmed the diagnosis with DNA+ for B19V. Discharge at 17 days with good evolution. The protocol for B19V screening in vertical infection needs to be revised by incorporating early molecular studies (PCR) from the early stages of gestation to optimize the diagnosis and treatment of patients with this congenital infection.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410420"},"PeriodicalIF":0.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456835","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

Massive pulmonary thromboembolism in an adolescent with SARS-CoV-2 infection. 一名感染 SARS-CoV-2 的青少年出现大面积肺血栓栓塞。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-17 DOI: 10.5546/aap.2024-10474.eng

Verónica Chauriye Kuncar, Cecilia Castillo Acevedo, Carlos Acuña Aguirre, Piaignacia Díaz Espejo

{"title":"Massive pulmonary thromboembolism in an adolescent with SARS-CoV-2 infection.","authors":"Verónica Chauriye Kuncar, Cecilia Castillo Acevedo, Carlos Acuña Aguirre, Piaignacia Díaz Espejo","doi":"10.5546/aap.2024-10474.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10474.eng","url":null,"abstract":"Thromboembolic events incidence is low in pediatrics; high suspicion and explicit management algorithms are essential. We present a 12-year-old female patient with two weeks of dyspnea, orthopnea, and ankle edema. Tests showed metabolic acidosis, hyperlactatemia, elevated D-dimer, and positive SARS-CoV-2 CRP. The echocardiogram showed severe right ventricular dysfunction and supra-systemic pulmonary hypertension. Chest CT angiography showed extensive bilateral pulmonary thromboembolism. Anticoagulant therapy was started. She presented with hemodynamic instability. Adrenaline, norepinephrine, milrinone, and nitric oxide were started. The clinical picture was extremely severe in the first 24 hours. It was decided to perform systemic thrombolysis with alteplase, which led to an improvement. Cardiorespiratory stabilization and anticoagulation are the mainstays of therapy in massive pulmonary thromboembolism. Fibrinolytic therapy is used in selected high-risk cases. In this patient, systemic reperfusion therapy with alteplase was performed with no significant complications.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410474"},"PeriodicalIF":0.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456837","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

Therapeutic hypothermia: A descriptive, cohort study conducted over 10 years at a tertiary care public hospital. 治疗性低温：在一家三级公立医院进行的一项历时 10 年的描述性队列研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2024-06-13 DOI: 10.5546/aap.2023-10264.eng

María N Nieves, Mariela Jozefkowicz, María C Rubio Longo, María B Borgognoni, Silvana Calligaris, María T Mazzucchelli

{"title":"Therapeutic hypothermia: A descriptive, cohort study conducted over 10 years at a tertiary care public hospital.","authors":"María N Nieves, Mariela Jozefkowicz, María C Rubio Longo, María B Borgognoni, Silvana Calligaris, María T Mazzucchelli","doi":"10.5546/aap.2023-10264.eng","DOIUrl":"10.5546/aap.2023-10264.eng","url":null,"abstract":"Introduction. Therapeutic hypothermia (TH) reduces the risk of death or disability in children with moderate to severe hypoxic ischemic encephalopathy (HIE). Objective. To describe a population of patients with HIE that required TH and their course until discharge. Population and methods. Retrospective, descriptive, cohort study. All patients admitted to TH between 2013 and 2022 were studied. Epidemiological, clinical, monitoring, and treatment data were assessed, together with supplementary tests and condition at discharge. Risk factors were compared between deceased patients and survivors; and, among the latter, those requiring special healthcare needs (SHCN) at discharge. Results. A total of 247 patients were included. Mortality: 11%. Most common sentinel event: prolonged second stage of labor (39%). Treatment initiation: median of 5 hours of life. Seizures: 57%. Intravenous erythropoietin: 66.7%. Abnormal pattern in brain function monitoring: 52%. Normalization of monitoring: median of 24 hours. Pathological magnetic resonance imaging: 42%. Predictor variables of mortality: severe Sarnat and Sarnat staging and pathological ultrasound upon admission. Conclusion. The overall mortality rate was 11%. Referrals increased more markedly since 2018. The time of TH initiation was later than in previous reports. Severe neurological signs as per the Sarnat and Sarnat staging and a pathological baseline cranial ultrasound were independent predictors of mortality at discharge. Patients with SHCN at discharge showed a normalized tracing in the amplitude-integrated electroencephalography performed later. The most common finding in the magnetic resonance imaging was basal ganglia involvement. No statistically significant differences were observed in terms of clinical characteristics or complications among patients who received erythropoietin.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310264"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141287622","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

Lessons from the pandemic. 大流行病的教训。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI: 10.5546/aap.2024-10450.eng

Fernando Ferrero

引用次数: 0

Imaging studies in evaluating children with stridor. 评估儿童喘鸣的成像研究。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI: 10.5546/aap.2024-10328.eng

Giselle Cuestas, Verónica Rodríguez, Patricio Bellia Munzón, Gastón Bellia Munzón

引用次数: 0

Argentine reference charts for head circumference from birth to 19 years of age. 阿根廷从出生到 19 岁的头围参考图。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2024-05-30 DOI: 10.5546/aap.2023-10296.eng

Mariana Del Pino, Sofía Chiaramonte, Alicia B Orden

{"title":"Argentine reference charts for head circumference from birth to 19 years of age.","authors":"Mariana Del Pino, Sofía Chiaramonte, Alicia B Orden","doi":"10.5546/aap.2023-10296.eng","DOIUrl":"10.5546/aap.2023-10296.eng","url":null,"abstract":"Introduction. Head circumference (HC) is an indicator of brain growth; growth charts are necessary to determine normal or pathological variations. Objectives. To present the first Argentine HC reference charts between birth and 19 years of age and to compare them with the Nellhaus charts, which have been used in our country to date. Population and methods. These references were developed based on combined data from the National Survey on Nutrition and Health of 2018 and cross-sectional studies conducted between 2004 and 2007 in the provinces of Buenos Aires and La Pampa, which included 8326 healthy children and adolescents. Growth curves were adjusted using the LMS method. To assess the differences between these reference charts and the Nellhaus charts, at different ages, the 2nd, 50th, and 98th percentiles were plotted. Results. HC showed a variable increase in size with age, which was greater in the first years of life, and a slight increase at puberty. The values for the 98th percentile of the Argentine reference charts werehigher than those of the Nellhaus charts at all ages. The values for the 2nd percentile of the national reference were lower than those of the Nellhaus charts during the first 2 years of life, similar between 3 and 7 years of age, and higher after this age. Conclusions. The Argentine curves adequately describe the growth pattern of HC. The differences found with the Nellhaus charts may be attributed to secular changes.","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202310296"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092501","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

Postbiotics: A new member in the biotics family. 后生物素：生物素家族的新成员。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2023-10-19 DOI: 10.5546/aap.2023-10168.eng

María Del C Toca, Fernando Burgos, Omar Tabacco, Gabriel Vinderola

引用次数: 0

Hemophagocytic lymphohistiocytosis in a child with human immunodeficiency virus in the setting of opportunistic viral co-infections. 一名感染人类免疫缺陷病毒的儿童在合并机会性病毒感染的情况下出现嗜血细胞淋巴组织细胞增多症。

IF 0.7 4区医学

Archivos argentinos de pediatria Pub Date : 2024-10-01 Epub Date: 2024-04-04 DOI: 10.5546/aap.2023-10293.eng

Romina Potanski, Lucia Barsante, María C Garreta, Camila Lisanti, Sonia Rojas, Arturo de Mena

引用次数: 0