Case Reports in Pediatrics最新文献

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A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia 在社区获得性肺炎中,“煮沸”是超越典型细菌病原体思考的线索
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-29 DOI: 10.1155/2022/8984170
Jeanna Auriemma
{"title":"A “Boil” Being the Clue to Think beyond Typical Bacterial Pathogens in Community-Acquired Pneumonia","authors":"Jeanna Auriemma","doi":"10.1155/2022/8984170","DOIUrl":"https://doi.org/10.1155/2022/8984170","url":null,"abstract":"Empyema necessitans is an exceptionally rare complication of bacterial pneumonia in the pediatric population. It occurs when the infection extends from the lung parenchyma to the chest wall by forming a fistula, which leads to infection of the surrounding soft tissue. In this case, a 13-year-old boy is found to have empyema necessitans caused by Actinomyces meyeri, with a preceding clue to the diagnosis being that he was treated for a superficial chest wall abscess several weeks prior to developing significant respiratory symptoms. Providers should be aware of this entity as it requires obtaining cultures to identify the appropriate pathogen and avoid treatment failure as it has implications for antibiotic choice and length of therapy.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"136 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86304362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New-Onset Henoch–Schonlein Purpura after COVID-19 Infection: A Case Report and Review of the Literature COVID-19感染后新发过敏性紫癜1例报告及文献复习
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-29 DOI: 10.1155/2022/1712651
Ashwag Asiri, Faris Alzahrani, S. Alshehri, Yossef Hassan AbdelQadir
{"title":"New-Onset Henoch–Schonlein Purpura after COVID-19 Infection: A Case Report and Review of the Literature","authors":"Ashwag Asiri, Faris Alzahrani, S. Alshehri, Yossef Hassan AbdelQadir","doi":"10.1155/2022/1712651","DOIUrl":"https://doi.org/10.1155/2022/1712651","url":null,"abstract":"Extrapulmonary manifestations of COVID-19 infection include a wide spectrum of cutaneous, endocrine, and cardiovascular complications. We report three cases of new-onset Henoch–Schonlein purpura (HSP) in COVID-19 infected children that were diagnosed and treated in Abha Maternity and Children Hospital, Saudi Arabia, between 28th July 2020 and 10th August 2020. All three cases were males younger than 5 years of age that presented with Henoch–Schonlein purpura characteristic rash and arthralgia without a recent history of any infection, especially respiratory infections. They all tested positive for COVID-19. At the time of the admission, pediatric COVID-19 cases were managed conservatively and we ruled out any other diagnosis before establishing the diagnosis of Henoch–Schonlein purpura according to the clinical picture. The three boys responded significantly to prednisolone and achieved a rapid recovery. We present the clinical scenario and laboratory tests of these children along with pictures of the lesions detected in each case.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"29 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75689445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Paroxysmal Tachycardia Diagnosed by ECG247 Smart Heart Sensor in a Previously Healthy Child ECG247智能心脏传感器诊断既往健康儿童阵发性心动过速
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-27 DOI: 10.1155/2022/9027255
J. Jortveit, A. Früh, H. Odland
{"title":"Paroxysmal Tachycardia Diagnosed by ECG247 Smart Heart Sensor in a Previously Healthy Child","authors":"J. Jortveit, A. Früh, H. Odland","doi":"10.1155/2022/9027255","DOIUrl":"https://doi.org/10.1155/2022/9027255","url":null,"abstract":"Supraventricular tachycardia (SVT) is the most common symptomatic heart rhythm disorder in children and adolescents. ECG recordings of the heart rhythm during episodes is necessary for the diagnosis and for the selection of treatment. However, conventional long-term ECG recording systems may miss the diagnosis due to the disease's intermittent nature. Novel adhesive patch ECG monitors, like ECG247 Smart Heart Sensor, may represent new important diagnostic tools in children and adolescents with symptoms of heart rhythm disorders. We report a case of tachyarrhythmia in a previously healthy 12-year-old child.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"36 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73989538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pott's Puffy Tumor Presenting as Pyogenic Meningitis in an Infant 婴儿波特氏肿块表现为化脓性脑膜炎
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-25 DOI: 10.1155/2022/4732287
M. Faridi, S. Pandey, S. Shamsi
{"title":"Pott's Puffy Tumor Presenting as Pyogenic Meningitis in an Infant","authors":"M. Faridi, S. Pandey, S. Shamsi","doi":"10.1155/2022/4732287","DOIUrl":"https://doi.org/10.1155/2022/4732287","url":null,"abstract":"Introduction. Pott's puffy tumor is characterized by the osteomyelitis of the frontal bone with underlying subperiosteal abscess, mostly occurring secondary to recurrent sinusitis or head trauma. Though it is a rare clinical entity in this antibiotic era, its occurrence mostly in the adolescent age group has now shown increased reporting lately in all age groups. Case Description. We describe here a case of a 4½-month-old female baby who presented to our hospital's Emergency Room with clinical features of pyogenic meningitis following aspiration of a midline frontal swelling. The infant presented with high-grade fever, 3-4 episodes of projectile vomiting, increased irritability, and refusal to breastfeeding than usual. This was accompanied by a history of a gradually increasing midline fluctuant erythematous swelling on her forehead extending to the left eye. Aspiration of the swelling was done a day before by a local general practitioner, following which she developed the above-mentioned features of pyogenic meningitis and was brought to the hospital the next day. Examination revealed a conscious, febrile, irritable child with bulging anterior fontanel and 101.4°F axillary temperature. Vital signs were within normal limits. CSF analysis was suggestive of pyogenic meningitis, and appropriate antibiotics were given. MRI showed frontal bone osteomyelitis with erosion of the bony plate and focal cerebritis. The condition turned out to be Pott's puffy tumor with pyogenic meningitis after detailed investigations. The infant was treated with appropriate antibiotics and other supportive therapeutic measures and discharged with the advice for further management in collaboration with otorhinolaryngologist.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"19 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73466280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hypertensive Crisis in a Pediatric Patient Experiencing Clonidine Withdrawal 小儿戒断可乐定患者的高血压危重
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-22 DOI: 10.1155/2022/9005063
Can Cao, M. Lorenz, Phillip Sojka, Allison W Brindle, L. Topor
{"title":"Hypertensive Crisis in a Pediatric Patient Experiencing Clonidine Withdrawal","authors":"Can Cao, M. Lorenz, Phillip Sojka, Allison W Brindle, L. Topor","doi":"10.1155/2022/9005063","DOIUrl":"https://doi.org/10.1155/2022/9005063","url":null,"abstract":"Background Clonidine, a central alpha-adrenoreceptor agonist, was initially developed as an antihypertensive. Though no longer commonly used for its original indication due to rebound hypertension after discontinuation, it is currently widely prescribed as a treatment for many pediatric indications including sleep disorders, behavioral concerns, and attention deficit hyperactivity disorder. Case Report. We describe a girl who developed prolonged symptoms of clonidine withdrawal, including hypertension and elevated serum metanephrines. Discussion. Clonidine withdrawal in pediatric patient can present with hypertensive urgency and other signs of sympathetic stimulation. Withdrawal can also lead to dramatic elevation in serum metanephrines. Treatment with a clonidine taper will reduce development of withdrawal symptoms. Conclusion Given the rise in clonidine use in pediatric patients, clinicians should be aware of the risk of clonidine withdrawal and how to recognize and avoid its development.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89865383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Apnea in a Two-Week-Old Infant Infected with SARS-CoV-2 and Influenza B 2周龄婴儿感染SARS-CoV-2和乙型流感的呼吸暂停
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-03-15 DOI: 10.1155/2022/2969561
Radhika Maddali, K. Cervellione, L. Lew
{"title":"Apnea in a Two-Week-Old Infant Infected with SARS-CoV-2 and Influenza B","authors":"Radhika Maddali, K. Cervellione, L. Lew","doi":"10.1155/2022/2969561","DOIUrl":"https://doi.org/10.1155/2022/2969561","url":null,"abstract":"Paucity of data exists on presenting symptoms and outcomes in infants with COVID-19. Reports of coinfection with COVID-19 and influenza B are sparse in the literature. Coinfection was uncovered during evaluation of neonatal apnea. Apnea has been reported in infants with SARS-CoV-2 infection, though it is rare. We describe a 2-week-old healthy term infant presenting with apnea and coinfection. The infant had a mild clinical course and complete recovery.","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"180 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77315980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A Rare Case Report of NEHI in a Preterm Infant with Review of the Literature. 罕见早产儿NEHI 1例报告并文献复习。
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/7907338
Chetna Mangat, Mikaela DeCoster, Natasa Milosavljevic, Lisa Hiskey, Elizabeth H Ristagno, Nadir Demirel
{"title":"A Rare Case Report of NEHI in a Preterm Infant with Review of the Literature.","authors":"Chetna Mangat,&nbsp;Mikaela DeCoster,&nbsp;Natasa Milosavljevic,&nbsp;Lisa Hiskey,&nbsp;Elizabeth H Ristagno,&nbsp;Nadir Demirel","doi":"10.1155/2022/7907338","DOIUrl":"https://doi.org/10.1155/2022/7907338","url":null,"abstract":"<p><strong>Background: </strong>Neuroendocrine cell hyperplasia of infancy (NEHI) is a rare respiratory disorder. During infancy, it typically presents with hypoxemia, tachypnea, and respiratory distress, and is commonly misdiagnosed as common childhood illnesses such as pneumonia, reactive airway disease, or bronchiolitis. Lack of awareness about this relatively new and rare disorder in primary care and acute care settings lead to delayed diagnosis and unnecessary use of antibiotics. <i>Case Presentation</i>. We present a case of a 7-month-old girl, born prematurely at 32 weeks with tachypnea and respiratory distress who was initially diagnosed with viral pneumonia, then upper respiratory infection, and finally with community-acquired bacterial pneumonia, while the child never had any fever or upper respiratory symptoms. Failure of outpatient treatment with oral antibiotic and bronchodilator, with the persistence of respiratory symptoms such as retractions, bilateral crackles, and hypoxemia led to hospitalization for intravenous antibiotics. Given persistent symptoms, further evaluation was performed, and she was diagnosed with NEHI based on characteristic chest CT findings.</p><p><strong>Conclusions: </strong>Viral respiratory infections are the most frequent cause of respiratory illnesses in the first years of life. Primary care providers should be aware of less frequent causes of persistent respiratory symptoms in infancy like NEHI and other interstitial lung diseases in children. This may prevent unnecessary use of antibiotics and delayed diagnosis.</p>","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2022 ","pages":"7907338"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10749584","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
Vitamin B6 Neonatal Toxicity. 维生素B6新生儿毒性。
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/3171351
Andrea Guala, Giulia Folgori, Micaela Silvestri, Michelangelo Barbaglia, Cesare Danesino
{"title":"Vitamin B6 Neonatal Toxicity.","authors":"Andrea Guala,&nbsp;Giulia Folgori,&nbsp;Micaela Silvestri,&nbsp;Michelangelo Barbaglia,&nbsp;Cesare Danesino","doi":"10.1155/2022/3171351","DOIUrl":"https://doi.org/10.1155/2022/3171351","url":null,"abstract":"<p><p>Vitamin B6 is a micronutrient required by the body. It acts as a coenzyme in biochemical reactions. Vitamin B6 toxicity is not caused by the intake of food-based sources. The few reported cases of vitamin B6 toxicity are always caused by overdosing of nutritional supplements. Chronic toxicity typically occurs with peripheral neuropathy such as paraesthesia, ataxia, and imbalance, paradoxically mimicking vitamin B6 deficiency. However, the prognosis is favorable, and symptoms usually show improvement once excessive vitamin B6 levels return to the physiological range. We report a newborn presenting with diffuse tremor at birth, interpreted as secondary to the mother's intake of high doses of a supplement containing vitamin B6 during pregnancy and breastfeeding. As expected, the newborn's serum levels of vitamin B6 were high. The tremors disappeared when the maternal supplement was stopped.</p>","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2022 ","pages":"3171351"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9747291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10368215","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
Seizure-Induced Hemoptysis in a Pediatric Patient. 小儿癫痫性咯血。
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/6059007
Ritika Nangia, Margaret Kahwaty, Ashutosh Sachdeva, Nidhi Kotwal
{"title":"Seizure-Induced Hemoptysis in a Pediatric Patient.","authors":"Ritika Nangia,&nbsp;Margaret Kahwaty,&nbsp;Ashutosh Sachdeva,&nbsp;Nidhi Kotwal","doi":"10.1155/2022/6059007","DOIUrl":"https://doi.org/10.1155/2022/6059007","url":null,"abstract":"<p><p>Hemoptysis can complicate seizures, albeit rarely. This unfamiliar presentation, reported infrequently in adults, can also affect children. This remains a rare clinical entity in pediatrics and we report one such case and its association with sterol carrier protein (SCP) gene mutation. We present a case of a 16-year-old male with recurrent episodes of hemoptysis following seizures. The diagnostic workup for etiology of the hemoptysis was unrevealing and he was ultimately treated for neurogenic pulmonary edema as a diagnosis of exclusion. He achieved complete resolution with supportive care and diuretics. Our case report describes the clinical and radiological presentation and overall management of post-ictal pulmonary hemorrhage and edema in a pediatric patient. In addition, it reports a new finding of possible association with sterol carrier protein (SCP2) carrier status. It also highlights a rare but potentially life-threatening consequence of inadequate seizure control in pediatric patients.</p>","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2022 ","pages":"6059007"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10464910","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 Treatment of Drug-Resistant Seizures Secondary to Ring 20 Mosaicism with Perampanel as an Add-On Antiepileptic Drug. Perampanel作为附加抗癫痫药物成功治疗环20镶嵌性继发耐药癫痫发作。
IF 0.9
Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/7414628
Janet Ling, Wai Lan Yeung, Kam Lun Hon, Ivan F M Lo, Ho-Ming Luk, Cheuk Wing Fung, Alexander K C Leung
{"title":"Successful Treatment of Drug-Resistant Seizures Secondary to Ring 20 Mosaicism with Perampanel as an Add-On Antiepileptic Drug.","authors":"Janet Ling,&nbsp;Wai Lan Yeung,&nbsp;Kam Lun Hon,&nbsp;Ivan F M Lo,&nbsp;Ho-Ming Luk,&nbsp;Cheuk Wing Fung,&nbsp;Alexander K C Leung","doi":"10.1155/2022/7414628","DOIUrl":"https://doi.org/10.1155/2022/7414628","url":null,"abstract":"<p><p>We report a girl with drug-resistant seizures, progressive behavioral changes, and cognitive decline. Investigations showed abnormal EEG with frequent high-voltage bifrontotemporal sharp and slow waves, especially during sleep. Seizures were difficult to control, despite the usage of various antiepileptic drugs. Perampanel as an add-on antiepileptic drug appeared efficacious. Due to the recognizable pattern of seizures and EEG findings, a karyotype study was performed which revealed 46 chromosomes with a ring 20 chromosome mosaicism. Ring 20 chromosome is associated with drug-resistant refractory seizures, cognitive decline, and behavioral problems. This case highlights the difficulty and challenge faced in managing drug-resistant refractory seizures associated with ring 20 chromosome. While ring 20 chromosome is often underdiagnosed, one should have a high index of awareness and suspicion of such rare epilepsy syndrome, so that an early diagnosis can be made.</p>","PeriodicalId":9623,"journal":{"name":"Case Reports in Pediatrics","volume":"2022 ","pages":"7414628"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10251807","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
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