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Acute cyanide intoxication due to apricot seed ingestion. 摄入杏核导致急性氰化物中毒。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI: 10.5546/aap.2024-10390.eng
Mehmet N Talay, Emre Güngör, Özhan Orhan
{"title":"Acute cyanide intoxication due to apricot seed ingestion.","authors":"Mehmet N Talay, Emre Güngör, Özhan Orhan","doi":"10.5546/aap.2024-10390.eng","DOIUrl":"10.5546/aap.2024-10390.eng","url":null,"abstract":"<p><p>Introduction: Cyanide poisoning, whether it be accidental or intentional, remains a significant danger to adults and children, especially in societies where agriculture is a primary source of income. We examined the clinical follow-up, complications, and results of cyanide poisoning cases that occurred after eating the pits and seeds of plants containing cyanide glycosides, such as apricot kernels and almonds. Methods: Between 01/01/2017 and 01/08/2022, 14 children aged 1-18 years who were followed up with a prediagnosis of cyanide poisoning in our Paediatric Intensive Care Unit (PICU) were retrospectively analysed. Results: Eight of the patients followed with a preliminary diagnosis of cyanide poisoning were female and six were male. The most common admission month was July (42.8%) coinciding with the agricultural season. The most common symptoms at presentation were weakness and fatigue (n = 7). In the PICU, 4 patients presented lip cyanosis; 3, altered level of consciousness. Vomiting, seizure, headache, dizziness and palpitatons were less frequent. Four patients were treated with hydroxocobalamin (Cyanokit®) as an antidote due to acidosis in their blood gases. All patients treated for cyanide poisoning were discharged. Conclusions: Cyanide poisoning should be considered in paediatric patients with suspicious findings, sudden loss of consciousness, increased anion gap acidosis and lactic acidosis. The history of eating the seeds of plants such as apricot and almonds should be investigated.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410390"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103860","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
[Recommendations on the use of palivizumab: update 2023]. [帕利珠单抗使用建议：2023 年更新]。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-07-18 DOI: 10.5546/aap.2024-10430
María J Fattore, Alejandro J A Maccarrone, Mariana Brusadin, María S Arbio, Gladys Saá
{"title":"[Recommendations on the use of palivizumab: update 2023].","authors":"María J Fattore, Alejandro J A Maccarrone, Mariana Brusadin, María S Arbio, Gladys Saá","doi":"10.5546/aap.2024-10430","DOIUrl":"10.5546/aap.2024-10430","url":null,"abstract":"<p><p>The current document is an update of the recommendations of the Sociedad Argentina de Pediatría based on a bibliographic review of publication from recent years on the use of the monoclonal antibody against respiratory syncytial virus (RSV), palivizumab, in groups of patients at high risk of developing severe respiratory infection. The continuing relevance of RSV as a causative agent of acute lower respiratory infections and hospitalizations are highlighted. The epidemiology of RSV in the country after the COVID-19 pandemic was reviewed. The risk groups in which the use of palivizumab is indicated according to the underlying condition were discussed, as well as aspects of its dosing and future therapeutic options.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410430"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619142","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
Western equine encephalitis, a report of two cases in pediatric patients. 西部马脑炎，两例儿童患者的报告。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-15 DOI: 10.5546/aap.2024-10383.eng
Fernando Saúl, M Victoria Alessandrini, Milagros Maggi, Francina Lombardi, M Soledad Martiren
{"title":"Western equine encephalitis, a report of two cases in pediatric patients.","authors":"Fernando Saúl, M Victoria Alessandrini, Milagros Maggi, Francina Lombardi, M Soledad Martiren","doi":"10.5546/aap.2024-10383.eng","DOIUrl":"10.5546/aap.2024-10383.eng","url":null,"abstract":"<p><p>Western equine encephalitis (WEE) is vector-borne infection caused by an RNA virus of the genus Alphavirus, disseminated by mosquitoes that can cause WEE in humans. There are two cycles of transmission, a maintenance cycle and an occasional amplification with vector augmentation, where equines and humans are terminal hosts. In Argentina, no human cases had been reported since 1983. Here we describe 2 pediatric patients with brain symptoms and serological diagnosis of WEE. Both samples of cerebrospinal fluid (CSF) showed pleocytosis, while the neuroimaging test showed alterations in the basal ganglia. The serological diagnosis was based on the detection of specific IgM in serum and CSF and neutralizing antibodies 14 days after symptom onset. The patients were managed with supportive treatment. One patient recovered his normal neurological status without seizures before discharge, while the other was discharged with right hemiparesis, which resolved after 2 months, and continued with anticonvulsants due to a pathological EEG.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410383"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905811","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
Parents' use of the Internet and social media as a source of information on health and parenting. 父母将互联网和社交媒体作为健康和育儿信息来源的情况。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-09-12 DOI: 10.5546/aap.2024-10451.eng
Gabriela Urman, Sabrina Avilez Díaz, Jorge Urman, Arnoldo Grosman
{"title":"Parents' use of the Internet and social media as a source of information on health and parenting.","authors":"Gabriela Urman, Sabrina Avilez Díaz, Jorge Urman, Arnoldo Grosman","doi":"10.5546/aap.2024-10451.eng","DOIUrl":"10.5546/aap.2024-10451.eng","url":null,"abstract":"<p><p>Introduction. The Internet and social media have revolutionized access to information on health and parenting issues. Virtual consultations are spreading worldwide, are increasing, and represent a challenge for professional practice. Objective. To characterize the use of the Internet and social media by mothers and fathers as a source of information on the health and parenting of their children. Population and methods. A descriptive, cross-sectional study in an outpatient pediatric center in the City of Buenos Aires to determine the online consultation habits of caregivers of healthy children or children with health problems. Results. Two hundred-one surveys were analyzed, and the answers were predominantly from mothers of healthy children; 70.6% search online for health and parenting topics; 80% consult more than once a month. Although 36% of the families use the information to complement the medical consultation, 95% would not replace the pediatric consultation with the online search. The participants are not in the habit of following official pages, nor do they tend to verify the veracity of the contents. The search topics are related to the child's age, and satisfaction with the information results are modified according to whether the child is healthy or has a health problem. Only 4.7% responded that the search always answers their questions. Conclusions. Caregivers frequently seek online parenting and health information, but the sources are not always reliable. Although consultation with pediatricians is not displaced, we need to know the impact of online information on health decision-making. Pediatricians can intervene and guide caregivers to safe sources.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410451"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131690","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
Characteristics of trans and non-binary children and adolescents who attended a tertiary hospital. 在一家三级医院就诊的变性和非二元儿童及青少年的特征。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-09-26 DOI: 10.5546/aap.2024-10359.eng
Valeria Mulli, María Zabalza, Alfredo Eymann, Guillermo Alonso, María M Bellomo, María C Bertini, María F Kuspiel, María N Ormaechea, Cristina Catsicaris, Julio Busaniche
{"title":"Characteristics of trans and non-binary children and adolescents who attended a tertiary hospital.","authors":"Valeria Mulli, María Zabalza, Alfredo Eymann, Guillermo Alonso, María M Bellomo, María C Bertini, María F Kuspiel, María N Ormaechea, Cristina Catsicaris, Julio Busaniche","doi":"10.5546/aap.2024-10359.eng","DOIUrl":"10.5546/aap.2024-10359.eng","url":null,"abstract":"<p><p>Introduction. The trans population in Argentina represents 0.43%. Our objective was to describe the characteristics of trans and non-binary children and adolescents. Population and methods. A cross-sectional study was designed. The population was all trans or nonbinary persons under 24 years of age seen by an interdisciplinary team in a tertiary university hospital from January 2019 to May 2023. The sample was obtained from the database of patients seen by reviewing electronic medical records (EMR). Results. The EMRs of 107 individuals were analyzed; the average age at first consultation was 15.3 years, and the age of self-perceived transgender identity was 11.1 years. Seventy-two percent perceived themselves as having a trans male identity; in 89.7%, their gender expression was by their self-perception, and 46.3% had a bisexual sexual orientation. Seventy-six percent acknowledged having family support; 87.3%, school support; and 92.5%, peer support. 44.8% had a hormonal strategy, 14.1% had surgery, 57.1% had mental health intervention, and 29.1% received psychiatric medication. Only three patients (2.8%) detransitioned their gender identity. Conclusion. Most individuals were trans men and perceived good support from their environments. Almost half received a hormonal strategy; less than a quarter received a surgical intervention; more than half received a mental health intervention. The detransition was infrequent.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410359"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279857","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
Childhood-onset systemic lupus erythematosus associated with inborn errors of immunity: One or several conditions? 与先天性免疫错误有关的儿童期系统性红斑狼疮：一种还是多种情况？
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-29 DOI: 10.5546/aap.2024-10370.eng
Mariano N Lorenzo, Dolores Artese, Melina Perdíz, Natalia P Álvarez, Guillermo N Ledo, María V Cohen, Juana I Romero
{"title":"Childhood-onset systemic lupus erythematosus associated with inborn errors of immunity: One or several conditions?","authors":"Mariano N Lorenzo, Dolores Artese, Melina Perdíz, Natalia P Álvarez, Guillermo N Ledo, María V Cohen, Juana I Romero","doi":"10.5546/aap.2024-10370.eng","DOIUrl":"10.5546/aap.2024-10370.eng","url":null,"abstract":"<p><p>Childhood-onset systemic lupus erythematosus (cSLE) is a multisystem disease; its severity depends on the organs involved. Monogenic diseases have been described as predisposing to the onset of cSLE. Analytical and immunological tests are used for diagnostic confirmation. The main goal of treatment is remission and flare prevention. Here we describe the clinical case of a patient with prolonged febrile syndrome, arthralgias, and anemia, positive analytical tests for antinuclear antibodies and anti-DNA antibodies and low values of complement C3, C4, and C1q; so the patient was diagnosed with cSLE associated with C1q deficiency. Patients with C1q deficiency present with early onset of disease and significant target organ damage with nephritis. An early diagnosis of cSLE is important to ensure an early and appropriate treatment. Treatment may be personalized depending on the underlying defect that generates the subtype of lupus.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410370"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142043849","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
Ethics of patient referral in clinical research. 临床研究中病人转诊的伦理问题。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-02-01 Epub Date: 2024-08-22 DOI: 10.5546/aap.2024-10499.eng
Adriel Roitman, Cecilia Serrano, Adriana Domínguez, Leonardo Perelis, María F Ossorio
{"title":"Ethics of patient referral in clinical research.","authors":"Adriel Roitman, Cecilia Serrano, Adriana Domínguez, Leonardo Perelis, María F Ossorio","doi":"10.5546/aap.2024-10499.eng","DOIUrl":"10.5546/aap.2024-10499.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410499"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987335","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
Atypical parathyroid tumor: A rare cause of primary hyperparathyroidism in an adolescent. 不典型甲状旁腺肿瘤：原发性甲状旁腺功能亢进在青少年的罕见原因。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-01-30 DOI: 10.5546/aap.2024-10589.eng
Martín O Escudero, María F Kuspiel, Alfredo M Eymann, Paola X De la Iglesia Niveyro, Guillermo Alonso
{"title":"Atypical parathyroid tumor: A rare cause of primary hyperparathyroidism in an adolescent.","authors":"Martín O Escudero, María F Kuspiel, Alfredo M Eymann, Paola X De la Iglesia Niveyro, Guillermo Alonso","doi":"10.5546/aap.2024-10589.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10589.eng","url":null,"abstract":"<p><p>Hyperparathyroidism is a rare entity in pediatrics. It is defined as the increased production of parathyroid hormone. It may be due to a primary defect of the parathyroid glands (primary hyperparathyroidism) or to a compensatory parathyroid hormone production to correct hypocalcemia states of various origins (secondary hyperparathyroidism). We describe the case of a 15-year-old adolescent girl with a history of several months of deteriorating school performance, anxiety crises, weight loss, and tachycardia. Laboratory results showed hypercalcemia, hypophosphatemia, increased parathyroid hormones, and hypovitaminosis D; imaging studies showed generalized bone involvement and parathyroid nodular formation. A parathyroidectomy and right hemithyroidectomy were performed, after which she presented persistent hungry bone syndrome. The anatomopathological diagnosis was an atypical parathyroid tumor. We describe the form of presentation, the results of the different complementary tests performed, and the short- and long-term evolution.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410589"},"PeriodicalIF":0.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057479","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
Towards a comprehensive improvement in pediatric post-surgical care. 全面提高小儿术后护理水平。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-01-30 DOI: 10.5546/aap.2024-10634.eng
Analía Solari Moro
{"title":"Towards a comprehensive improvement in pediatric post-surgical care.","authors":"Analía Solari Moro","doi":"10.5546/aap.2024-10634.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10634.eng","url":null,"abstract":"","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410634"},"PeriodicalIF":0.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057492","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
Lactation, mastitis, and probiotics. 哺乳，乳腺炎和益生菌。
IF 0.7 4区 医学
Archivos argentinos de pediatria Pub Date : 2025-01-23 DOI: 10.5546/aap.2024-10490.eng
Gustavo Fernández, Ana L Santagada, Carmen Vecchiarelli, Gabriel Vinderola
{"title":"Lactation, mastitis, and probiotics.","authors":"Gustavo Fernández, Ana L Santagada, Carmen Vecchiarelli, Gabriel Vinderola","doi":"10.5546/aap.2024-10490.eng","DOIUrl":"https://doi.org/10.5546/aap.2024-10490.eng","url":null,"abstract":"<p><p>Exclusive breastfeeding during the first six months of life, and prolonged with complementary feeding until 2 years of age or more, is the best nutritional approach in the first stage of life. Mastitis is a pathology that can jeopardize the continuity of breastfeeding. Different methods have been proposed for the prevention and treatment of mastitis, including probiotics. This narrative review aims to describe the problem of mastitis during lactation and the role of probiotics in its prevention. Mastitis should not be confused with the physiological phenomenon known as milk coming in. In persistent pain, timely medical consultation is key to avoiding complications. The administration of specific probiotics in the perinatal period has shown efficacy in reducing the incidence of mastitis.</p>","PeriodicalId":8338,"journal":{"name":"Archivos argentinos de pediatria","volume":" ","pages":"e202410490"},"PeriodicalIF":0.7,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998992","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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