Case Reports in Pediatrics最新文献_第10页

Successful Management in an Infant Patient of PHACE Syndrome with a Complicated Aortic Arch Anomaly. 婴儿PHACE综合征并发主动脉弓异常1例的成功治疗。

IF 0.9

Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/5947951

Shun Suzuki, Mitsuru Seki, Koichi Kataoka, Reina Koga, Tomoyuki Sato, Masaaki Kawada, Takanori Yamagata

{"title":"Successful Management in an Infant Patient of PHACE Syndrome with a Complicated Aortic Arch Anomaly.","authors":"Shun Suzuki, Mitsuru Seki, Koichi Kataoka, Reina Koga, Tomoyuki Sato, Masaaki Kawada, Takanori Yamagata","doi":"10.1155/2022/5947951","DOIUrl":"https://doi.org/10.1155/2022/5947951","url":null,"abstract":"PHACE syndrome is a congenital disorder often associated with a cervicofacial infantile hemangioma and complicated cardiovascular malformations. Patients with PHACE syndrome often have complex aortic arch anomalies, longer aortic stenosis or agenesis segments, and increased vascular tortuosity; therefore, perioperative management and surgical repair are challenging. We report a case of a female infant with PHACE syndrome and complex cardiovascular anomalies such as a double aortic arch associated with interruption of the left aortic arch, coarctation of the right aortic arch, patent ductus arteriosus, ventricular septal defect, and atrial septal defect. She was born at 36 weeks of gestation (birth weight, 2,150 g) and the diagnosis was confirmed by three-dimensional computed tomography. Because her patent ductus arteriosus did not close at first, her heart failure was managed preoperatively without prostaglandin E 1. We initially attempted to promote weight gain. Surgical planning and simulation were performed using the patient-specific three-dimensional cardiovascular model created from computed tomography data. She underwent a successful aortic arch reconstruction by an end-to-side anastomosis with anterior patch augmentation at the age of 56 days. Detailed planning and simulation before surgery were vital in achieving favorable outcomes. Careful management and surgical planning using a patient-specific three-dimensional model are vital, especially in patients with complex malformations, such as in our case.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2022 ","pages":"5947951"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233658","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 Case of Kikuchi's Disease Without Cervical Lymphadenopathy. 菊池病无颈淋巴肿大1例。

IF 0.9

Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/2943233

Shinya Tomori, Seigo Korematsu, Taichi Momose, Yasuko Urushihara, Shuji Momose, Koichi Moriwaki

引用次数: 0

Myasthenia Gravis Masquerading as Status Asthmaticus. 重症肌无力伪装成哮喘。

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-12-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6959701

Neha Pirwani, Shayna Wrublik, Shashikanth Ambati

{"title":"Myasthenia Gravis Masquerading as Status Asthmaticus.","authors":"Neha Pirwani, Shayna Wrublik, Shashikanth Ambati","doi":"10.1155/2021/6959701","DOIUrl":"https://doi.org/10.1155/2021/6959701","url":null,"abstract":"Myasthenia gravis, an autoimmune disorder of neuromuscular transmission, can lead to varying degrees of weakness and fatigability of the skeletal musculature. Juvenile myasthenia gravis accounts for 10-15% of all cases of myasthenia gravis. The clinical presentation of juvenile myasthenia gravis varies tremendously, which presents itself as a diagnostic challenge for clinicians. We report a case of a 15-year-old female with mild intermittent asthma presenting with shortness of breath. Acute onset of dyspnea is a common chief complaint amongst the pediatric population with a broad differential diagnosis. Our patient was presumptively treated for status asthmaticus and required invasive mechanical ventilation. After extubating, the patient showed persistent ptosis, which led to the eventual work-up of myasthenia gravis. Upon further review, this patient had months of intermittent symptoms including ptosis and fatigue which went previously undiagnosed. This case demonstrates that dyspnea in an asthmatic can occur from nonairway processes and, if missed, may result in overtreatment of asthma or delayed diagnosis of an important neuromuscular process.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2021 ","pages":"6959701"},"PeriodicalIF":0.9,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39668882","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

Late Endocrine Effects after Stem Cell Transplant in a Young Girl with Griscelli Syndrome. 干细胞移植对年轻女孩格里塞利综合征晚期内分泌的影响。

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-12-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9981306

Shana R Mencher, William V Tamborlane, Anisha D Patel

{"title":"Late Endocrine Effects after Stem Cell Transplant in a Young Girl with Griscelli Syndrome.","authors":"Shana R Mencher, William V Tamborlane, Anisha D Patel","doi":"10.1155/2021/9981306","DOIUrl":"https://doi.org/10.1155/2021/9981306","url":null,"abstract":"Background. Griscelli syndrome (GS) is a rare disorder characterized by partial albinism and silver hair with alteration in genes necessary for melanin transport. Type 2 GS is fatal due to severe immunodeficiency without curative stem cell transplant (SCT). Late endocrinopathies are quite common in other disorders after SCT. These complications have not been reported in GS. Case Presentation. A 7-year-old female presented for growth failure with a history of GS status post curative SCT and consequently developed graft-versus-host disease (GvHD). She also had a history of eosinophilic enterocolitis, for which she was taking supraphysiologic glucocorticoids for the past year. She presented with severe short stature along with mild hyperthyroxinemia with subsequent diagnosis of Graves' disease, which was treated with methimazole. GH therapy was commenced due to persistent growth failure, with a robust increase in growth parameters. She started spontaneous puberty; however, initial biochemical evaluation revealed hypergonadotropic hypogonadism with undetectable anti-Mullerian hormone (AMH) consistent with low ovarian reserve and premature ovarian failure. Discussion. Growth failure was multifactorial due to her inflammatory condition and poor weight gain from multiple underlying illnesses, including hyperthyroidism, as well as chronic supraphysiologic glucocorticoid use. Although hypothyroidism is more commonly seen after SCT, rare cases of hyperthyroidism have been reported. In addition to SCTs, GvHD and GS have been associated with autoimmune conditions. It is important to monitor pubertal progression as the majority of those treated with alkylating agents prior to SCT have pubertal and ovarian failure and remain at risk for premature menopause.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2021 ","pages":"9981306"},"PeriodicalIF":0.9,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8723881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789883","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

Is It Stevens-Johnson Syndrome or MIS-C with Mucocutaneous Involvement? 是史蒂文斯-约翰逊综合征还是皮肤黏膜受累的 MIS-C？

IF 0.7

Case Reports in Pediatrics Pub Date : 2021-12-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1812545

Abdollah Karimi, Elham Pourbakhtiaran, Mazdak Fallahi, Fereshteh Karbasian, Shahnaz Armin, Delara Babaie

引用次数: 0

Persistent Atraumatic Knee Pain in a Teenage Female with Bony Protuberance Secondary to Hook-Shaped Osteochrondroma. 持续性非外伤性膝关节疼痛的青少年女性骨突出继发于钩形骨关节炎。

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-12-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3088992

Adityanarayan Rao, Joshua Pryor, Jaclyn Otero, Molly Posa

{"title":"Persistent Atraumatic Knee Pain in a Teenage Female with Bony Protuberance Secondary to Hook-Shaped Osteochrondroma.","authors":"Adityanarayan Rao, Joshua Pryor, Jaclyn Otero, Molly Posa","doi":"10.1155/2021/3088992","DOIUrl":"https://doi.org/10.1155/2021/3088992","url":null,"abstract":"A 13-year-old female presented at her pediatrician's office with a complaint of sharp, intermittent, right-sided knee pain that had been present for the previous three days without any known trauma and no association with activity. Her medical history was significant for fractures, and on physical exam, there was a hard mass palpated on the medial aspect of her distal thigh that was nontender, nonmobile, and without overlying skin changes. The plain radiograph findings were consistent with a hook-shaped osteochondroma of the right medial distal metaphysis. Orthopedics recommended conservative management with continued ibuprofen for pain and six-week follow-up with repeat radiograph to evaluate for progression. The follow-up radiograph showed no interval growth. However, due to continued pain, the patient had surgical excision of the osteochondroma six months after initial presentation, allowing her to finish her current soccer season. The surgery was successful, and the patient did well after operation with no residual pain.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2021 ","pages":"3088992"},"PeriodicalIF":0.9,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39645278","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

SARS-CoV-2 and Streptococcus pneumoniae Coinfection in a Previously Healthy Child. 既往健康儿童的SARS-CoV-2和肺炎链球菌合并感染

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-12-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8907944

Kimberly C Vu, Gloria P Heresi, Michael L Chang

引用次数: 4

Teenage Male with Cough and Recurrent Bruit. 青少年男性咳嗽和复发性瘀伤。

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9453574

Sheema Gaffar, Elliot Tucker

引用次数: 0

Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age. 一个年轻尼泊尔女孩的十二指肠溃疡穿孔:一个罕见的年龄诊断。

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6304309

Ashish Lal Shrestha, Anusha Shrestha

引用次数: 0

Fetal Gallstones in a Newborn after Maternal COVID-19 Infection. 母亲感染COVID-19后新生儿的胎儿胆结石

IF 0.9

Case Reports in Pediatrics Pub Date : 2021-11-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3688173

Gurleen Kaur Kahlon, Anna Zylak, Patrick Leblanc, Noah Kondamudi

引用次数: 1