Case Reports in Pediatrics最新文献_第7页

Breastfeeding Symptom Resolution After Sequential Labial-Lingual Frenectomies: A Case Report. 顺序唇舌系带切除术后母乳喂养症状的解决：1例报告。

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Case Reports in Pediatrics Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1155/crpe/5545986

Raymond J Tseng, Jessica Altemara, Sharon Smart

{"title":"Breastfeeding Symptom Resolution After Sequential Labial-Lingual Frenectomies: A Case Report.","authors":"Raymond J Tseng, Jessica Altemara, Sharon Smart","doi":"10.1155/crpe/5545986","DOIUrl":"10.1155/crpe/5545986","url":null,"abstract":"Background: Breastfeeding is vital for infant nutrition, bonding, and overall health. However, challenges can arise with the presence of tethered oral tissues, commonly known as labial (lip) tie or lingual (tongue) tie, otherwise known as ankyloglossia. This case study explores the differential resolution of breastfeeding symptoms in a one-month-old infant with both labial and lingual ties. It outlines the diagnostic process, surgical interventions, and postoperative care, emphasizing the importance of detailed characterization of symptom resolution associated with a lingual and labial frenectomy. Case Presentation: The one-month-old male presented with 11 symptoms of feeding difficulties. Sequential surgical releases were performed for the labial and lingual ties, with a ranula also addressed. Detailed symptom assessments were conducted at one, two, and 4 weeks postsurgery, revealing differential responses to labial and lingual releases. Results: The results show that 81.8% of symptoms resolved after labial and lingual surgeries, with some symptoms responding specifically to either labial or lingual release. The study suggests that surgical intervention can significantly improve breastfeeding outcomes, including for patients who may not have access to sufficient lactation counseling resources. Conclusion: This single case study provides a valuable starting point for the exploration of which dysfunctional breastfeeding symptoms are associated with a labial tie versus lingual tie. Further research with larger samples is warranted to explore optimal treatment strategies for diverse parent-baby dyads experiencing breastfeeding difficulties, or whose access to lactation support services is limited.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"5545986"},"PeriodicalIF":0.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812073","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

Complexities of Management of Atypical Ventricular Fibrillation Storm in a Young Patient With TANGO2. 1例年轻tango患者非典型室颤风暴治疗的复杂性。

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Case Reports in Pediatrics Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9911781

M Cecilia Gonzalez Corcia, Catherine Bradshaw, Efstathia Chronopoulou, Jennifer Shortland, Benjamin O'Sullivan, Tim Murphy

{"title":"Complexities of Management of Atypical Ventricular Fibrillation Storm in a Young Patient With TANGO2.","authors":"M Cecilia Gonzalez Corcia, Catherine Bradshaw, Efstathia Chronopoulou, Jennifer Shortland, Benjamin O'Sullivan, Tim Murphy","doi":"10.1155/2024/9911781","DOIUrl":"10.1155/2024/9911781","url":null,"abstract":"TANGO2 deficiency disorder, a rare autosomal recessive genetic disorder characterised by biallelic loss-of-function variants in the TANGO2 gene, was first described in 2016. This disorder involves the transport and Golgi organisation homologue, impacting Golgi membrane redistribution into the endoplasmic reticulum. Clinically, affected individuals exhibit a multiorgan phenotype, with prominent neurological manifestations such as developmental delay and regression. Metabolic crises, triggered by minor infections or fasting, are a hallmark of the disorder. We present the case of a 5-year-old boy diagnosed with TANGO2 deficiency disorder who experienced a refractory-to-treatment ventricular arrhythmia storm. The patient's clinical course was marked by rhabdomyolysis-induced muscle pain, weakness and dark urine. Despite aggressive medical management during intercurrent illness, including hyperhydration, maintenance of normoglycemia and correction of electrolyte abnormalities, the patient's condition deteriorated, leading to a life-threatening ventricular arrhythmia storm. In a life-saving therapeutic approach, the patient underwent a thoracoscopic left sympathectomy during extracorporeal membrane oxygenation (ECMO) support. Remarkably, this intervention resulted in the termination of the ventricular arrhythmia storm. The case underscores the challenges in managing TANGO2 deficiency disorder-associated complications and highlights the potential role of innovative interventions, such as sympathectomy during ECMO, in critical and refractory cases. This case contributes to the understanding of the clinical spectrum of TANGO2 deficiency disorder and emphasises the need for further research into targeted therapies for this rare metabolic condition, where current treatment strategies focus on symptom management.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"9911781"},"PeriodicalIF":0.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812077","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

Incidental Radiological Finding of an Intravenous Needle in a Pediatric Cervical Spine. 小儿颈椎静脉注射针的偶然放射学发现。

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Case Reports in Pediatrics Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.1155/crpe/9950731

Thana Namer, Rahaf Alanazi, Maryam Al Karawi, Mahfood Saeed, Sarmad Al Karawi

引用次数: 0

Neurofibromatosis Type 2 Presenting as Symptomatic Gallbladder Hydrops: A Rare Case Report and Literature Review. 2型神经纤维瘤病表现为有症状的胆囊积液：罕见病例报告及文献复习。

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Case Reports in Pediatrics Pub Date : 2024-11-20 eCollection Date: 2024-01-01 DOI: 10.1155/crpe/7680840

Bassel Hafez, Joudie Sahar Alwan, Walid El Hout, Karim Koussa, Tamara El Annan, Dolly Noun, Ahmad Zaghal

{"title":"Neurofibromatosis Type 2 Presenting as Symptomatic Gallbladder Hydrops: A Rare Case Report and Literature Review.","authors":"Bassel Hafez, Joudie Sahar Alwan, Walid El Hout, Karim Koussa, Tamara El Annan, Dolly Noun, Ahmad Zaghal","doi":"10.1155/crpe/7680840","DOIUrl":"https://doi.org/10.1155/crpe/7680840","url":null,"abstract":"Neurofibromatosis type 2 (NF2), also known as NF2-related schwannomatosis (SWN), is a rare dominantly inherited genetic disorder mainly characterized by the presence of vestibular schwannomas (VSs) in addition to a range of other tumors that affect both the central and peripheral nervous systems. These tumors include cranial, spinal, peripheral nerve, and intradermal schwannomas, cranial and spinal meningiomas, and intrinsic central nervous system (CNS) tumors, usually spinal ependymomas. Juvenile cataracts are also common in patients with NF2, with most symptoms at presentation being hearing loss and visual disturbances. We present the case of a previously healthy 12-year-old girl who presented with postprandial right upper quadrant pain and was found to have a large hydrops of the gallbladder on ultrasound scan of the abdomen. Pathology of the gallbladder post laparoscopic cholecystectomy showed diffuse involvement of the gallbladder by a benign nerve sheath tumor that was suggestive of schwannoma. Further testing confirmed the diagnosis of NF2. This case helps shed light on unusual NF2 symptoms and underscores the importance of recognizing atypical presentations for timely intervention and management. It also adds value to a multidisciplinary approach in diagnosing and managing NF2.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"7680840"},"PeriodicalIF":0.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766525","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

An Uncommon Presentation of Hamman's Syndrome in an Adolescent With Acute Diabetic Ketoacidosis and Newly Diagnosed Type 1 Diabetes. 一名患有急性糖尿病酮症酸中毒和新诊断出的 1 型糖尿病的青少年罕见的哈曼氏综合征表现。

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Case Reports in Pediatrics Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1168472

Daliya George, Malini Rajandran, Habib Bhurawala, Gary M Leong

{"title":"An Uncommon Presentation of Hamman's Syndrome in an Adolescent With Acute Diabetic Ketoacidosis and Newly Diagnosed Type 1 Diabetes.","authors":"Daliya George, Malini Rajandran, Habib Bhurawala, Gary M Leong","doi":"10.1155/2024/1168472","DOIUrl":"10.1155/2024/1168472","url":null,"abstract":"Hamman's syndrome, a rare complication of diabetic ketoacidosis (DKA), is characterized by subcutaneous emphysema and spontaneous pneumomediastinum. This case report discusses the occurrence of Hamman's syndrome in an 11-year-old adolescent male newly diagnosed with type 1 diabetes mellitus (T1DM) and presenting with severe DKA. The patient exhibited symptoms typical of DKA, including polydipsia, polyuria, abdominal pain, and fatigue, alongside signs such as dehydration, Kussmaul breathing, and tachycardia. Following initial management with intravenous fluids and insulin infusion, he was transferred to a tertiary children's hospital for further care. Subsequently, on routine examination, he exhibited bilateral neck crepitus and a mediastinal crunching sound on auscultation, indicative of Hamman's syndrome. Conservative management led to symptom resolution, and the patient was discharged with follow-up arranged. This case highlights the importance of recognizing Hamman's syndrome as a potential complication of DKA in pediatric patients. Prompt diagnosis and management, along with differentiation from more severe conditions like Boerhaave's syndrome, are crucial for ensuring favorable outcomes. Further awareness and understanding of this rare syndrome are essential for optimal patient care and management.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"1168472"},"PeriodicalIF":0.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557260","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

Helmet Ventilation in a Child with COVID-19 and Acute Respiratory Distress Syndrome. 对一名患有 COVID-19 和急性呼吸窘迫综合征的儿童进行头盔通气。

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Case Reports in Pediatrics Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5519254

Ke-Yun Chao, Chao-Yu Chen, Xiao-Ru Ji, Shu-Chi Mu, Yu-Hsuan Chien

{"title":"Helmet Ventilation in a Child with COVID-19 and Acute Respiratory Distress Syndrome.","authors":"Ke-Yun Chao, Chao-Yu Chen, Xiao-Ru Ji, Shu-Chi Mu, Yu-Hsuan Chien","doi":"10.1155/2024/5519254","DOIUrl":"10.1155/2024/5519254","url":null,"abstract":"Background: In pediatric patients with severe COVID-19, if the respiratory support provided using high-flow nasal cannula (HFNC) becomes insufficient, no definitive evidence exists to support the escalation to noninvasive ventilation (NIV) or mechanical ventilation (MV). Case Presentation. A 9-year-old boy being treated with face mask-delivered biphasic positive airway pressure ventilation developed fever, tachypnea, and frequent desaturation. The COVID-19 polymerase chain reaction test and urine antigen test for Streptococcus pneumoniae were both positive, and sputum culture yielded Pseudomonas aeruginosa. The do-not-resuscitate order precluded the use of endotracheal intubation. After 2 h of HFNC support, the respiratory rate oxygenation (ROX) index declined from 7.86 to 3.71, indicating impending HFNC failure. A helmet was used to deliver NIV, and SpO2 was maintained at >90%. Dyspnea and desaturation gradually improved, and the patient was switched to HFNC 6 days later and discharged 10 days later.Conclusion: In some cases, acute respiratory distress syndrome severity cannot be measured using the oxygenation index or oxygenation saturation index, and the SpO2/FiO2 ratio and ROX index may serve as useful alternatives. Although NIV delivered through a facemask or HFNC is more popular than helmet-delivered NIV, in certain circumstances, it can help escalate respiratory support while providing adequate protection to healthcare professionals.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"5519254"},"PeriodicalIF":0.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342260","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

Acute Disseminated Encephalomyelitis Presenting with Neuropsychiatric Symptoms. 出现神经精神症状的急性播散性脑脊髓炎。

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Case Reports in Pediatrics Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9810844

Mrinal Shrestha, Anish Joshi, Ajit Pandey, Aashutosh Chaudhary, Aman Raj Shrestha, Naman Koju, Sujan Timilsina, Ashlesha Chaudhary

引用次数: 0

Gross Hematuria and Hemolytic Anemia in Infectious Mononucleosis. 传染性单核细胞增多症中的毛细血尿和溶血性贫血。

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Case Reports in Pediatrics Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5236969

Chinmayi Sharma, Navneet Venugopal, Shivaiah Balachandra

{"title":"Gross Hematuria and Hemolytic Anemia in Infectious Mononucleosis.","authors":"Chinmayi Sharma, Navneet Venugopal, Shivaiah Balachandra","doi":"10.1155/2024/5236969","DOIUrl":"https://doi.org/10.1155/2024/5236969","url":null,"abstract":"Introduction. Infectious mononucleosis (IM), caused by the Epstein-Barr virus (EBV), typically presents with fever, tonsillopharyngitis, and lymphadenopathy while rare, renal, and hematological complications such as gross hematuria and hemolytic anemia can occur, particularly in children. Case Presentation. We describe a 15-year-old male with infectious mononucleosis presenting with abdominal pain, sore throat, and red-colored urine for three days. Laboratory findings revealed leukocytosis, elevated liver enzymes, and hemoglobinuria. Serological testing confirmed EBV infection. Despite intravascular hemolysis, the patient's anemia was mild, and he responded well to supportive care. Discussion. Gross hematuria and hemolytic anemia are uncommon in IM, with limited reports. Proposed mechanisms include viral-induced renal injury and autoimmune hemolysis. Differential diagnosis should consider other causes of hematuria, which can be differentiated through urine microscopy and serological tests. IM should be considered in patients with pharyngitis and hematuria, especially when other causes are excluded.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"5236969"},"PeriodicalIF":0.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280603","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 Report of Thoracic Ectopia Cordis in a Hospital in Zanjan, Iran. 伊朗赞詹市一家医院的胸廓脐带外翻病例报告。

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Case Reports in Pediatrics Pub Date : 2024-09-10 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3912085

Mehdi Hosseini, Hassan Zamani, Shadi Moghimi, Aref Nekoufar

{"title":"A Case Report of Thoracic Ectopia Cordis in a Hospital in Zanjan, Iran.","authors":"Mehdi Hosseini, Hassan Zamani, Shadi Moghimi, Aref Nekoufar","doi":"10.1155/2024/3912085","DOIUrl":"https://doi.org/10.1155/2024/3912085","url":null,"abstract":"Methods: A 17-week-old female neonate with a history of prenatal diagnosis of congenital heart anomaly was admitted to Ayatollah Mousavi Hospital in Zanjan, Iran. For the diagnosis of thoracic ectopia, cordis fetal echocardiography and ultrasonography were performed. Moreover, the noninvasive prenatal testing (NIPT) genetic test performed in the 10th week of pregnancy was evaluated.Results: The neonate was diagnosed with thoracic ectopia cordis, with the heart located outside the thoracic cavity and covered by a thin membrane. The Z scores of the analyzed maternal venous blood chromosomes were between +6 and -6, and all chromosomes had a low risk in terms of the risk of birth defects. The results of this study revealed that genetic test analysis is not enough to diagnose and predict congenital anomalies and defects. Furthermore, the findings showed that the fetus's mother continued to take folic acid after the first 3 months of pregnancy. This can be one of the risk factors involved in causing this heart defect.Conclusion: One of the important results of this study was that the diagnostic findings of ultrasound were normal, but the findings of echocardiography were reported as abnormal. This shows that fetal echocardiography is better than ultrasound imaging in diagnosing ectopia cordis. In addition, it is recommended that pregnant women should avoid taking folic acid after the first trimester of pregnancy.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"3912085"},"PeriodicalIF":0.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280602","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

Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant. 成功修复和处理极低出生体重儿在出生时发生的严重头皮撕脱。

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Case Reports in Pediatrics Pub Date : 2024-09-10 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8122801

Shoko Takahashi, Yu Kanai, Yayoi Miyazono, Daisuke Hitaka, Yuki Fujita, Yoichiro Shibuya, Hidetoshi Takada

{"title":"Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant.","authors":"Shoko Takahashi, Yu Kanai, Yayoi Miyazono, Daisuke Hitaka, Yuki Fujita, Yoichiro Shibuya, Hidetoshi Takada","doi":"10.1155/2024/8122801","DOIUrl":"https://doi.org/10.1155/2024/8122801","url":null,"abstract":"Introduction: Minor head trauma, such as scalp abrasion, is relatively common during vaginal delivery, whereas fatal head trauma is rare. This case report describes the successful repair and management of severe scalp avulsion that occurred during vaginal delivery and consequent hemorrhagic shock in an extremely low birth weight infant. Case Presentation. An extremely low birth weight infant (26 weeks' gestational age) sustained extensive scalp avulsion during vaginal delivery that exposed the skull. The scalp laceration began in the frontal temporal region and extended bilaterally along the temporal region for 20 cm. The infant experienced hemorrhagic shock soon after birth due to bleeding from the wound and was placed in a closed incubator for intensive care. At 7 h after birth, the wounds were repaired using sutures. Bleeding was quickly controlled, and the infant recovered from hemorrhagic shock. A wet dressing was applied to the wound, and the flap healed without necrosis.Conclusion: We successfully repaired severe scalp avulsion in this case. Scalp avulsion can cause severe bleeding and death. Bleeding control and the preservation of circulation are the most important factors in its repair and maintenance. In this case, suturing the wound effectively controlled the bleeding, and the application of wet dressing and a high-humidity environment thereafter may have contributed to the scalp's engraftment.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2024 ","pages":"8122801"},"PeriodicalIF":0.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280604","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