Case Reports in Pediatrics最新文献_第9页

Hypertensive Crisis in a Pediatric Patient Experiencing Clonidine Withdrawal 小儿戒断可乐定患者的高血压危重

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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

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

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Case Reports in Pediatrics Pub Date : 2022-03-15 DOI: 10.1155/2022/2969561

Radhika Maddali, K. Cervellione, L. Lew

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。

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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, Mikaela DeCoster, Natasa Milosavljevic, Lisa Hiskey, Elizabeth H Ristagno, Nadir Demirel","doi":"10.1155/2022/7907338","DOIUrl":"https://doi.org/10.1155/2022/7907338","url":null,"abstract":"Background: 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. Case Presentation. 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.Conclusions: 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.","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。

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Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/3171351

Andrea Guala, Giulia Folgori, Micaela Silvestri, Michelangelo Barbaglia, Cesare Danesino

引用次数: 0

Seizure-Induced Hemoptysis in a Pediatric Patient. 小儿癫痫性咯血。

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Case Reports in Pediatrics Pub Date : 2022-01-01 DOI: 10.1155/2022/6059007

Ritika Nangia, Margaret Kahwaty, Ashutosh Sachdeva, Nidhi Kotwal

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。

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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, Wai Lan Yeung, Kam Lun Hon, Ivan F M Lo, Ho-Ming Luk, Cheuk Wing Fung, Alexander K C Leung","doi":"10.1155/2022/7414628","DOIUrl":"https://doi.org/10.1155/2022/7414628","url":null,"abstract":"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.","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

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。

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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。

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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。

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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。

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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