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Case reports in pediatrics 81건

  1. [해외논문]   It Is Not Always Sepsis: Fatal Tachypnea in a Newborn  

    Levene, Rachel (Department of Pediatrics, SUNY Downstate Medical Center, Brooklyn, NY, USA ) , Pollak-Christian, Elza (Department of Pediatrics, Neonatal-Perinatal Section, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA ) , Garg, Ashish (Department of Pediatric Cardiology, University of Miami, Miami, FL, USA ) , Keenaghan, Michael (Department of Pediatrics, Kings County Hospital Center, Brooklyn, NY, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Coarctation of the aorta (CoA) is a congenital cardiac malformation that is well understood. Despite being well characterized, CoA is a commonly missed congenital heart disease (CHD) during the newborn period. We report a full-term nine-day-old male who presented to the pediatric emergency department (ED) with isolated tachypnea. After an initial sepsis workup, subsequent investigations revealed critical CoA. Because the primary workup focused on sepsis, there was a significant delay in prostaglandin E1 (PGE1) initiation. This case illustrates the importance of early CoA recognition and timely initiation of PGE1 in newborns who present with suspected sepsis along with tachypnea.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Bartter Syndrome Type 1 Presenting as Nephrogenic Diabetes Insipidus  

    Vergine, Gianluca (Department of Pediatrics, Infermi Hospital, Rimini, Italy ) , Fabbri, Elena (Department of Pediatrics, Infermi Hospital, Rimini, Italy ) , Pedini, Annalisa (Department of Pediatrics, Infermi Hospital, Rimini, Italy ) , Tedeschi, Silvana (Medical Genetics Laboratory, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy ) , Borsa, Niccolò (Medical Genetics Laboratory, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Bartter syndrome (BS) type 1 (OMIM #601678) is a hereditary salt-losing renal tubular disorder characterized by hypokalemic metabolic alkalosis, hypercalciuria, nephrocalcinosis, polyuria, recurrent vomiting, and growth retardation. It is caused by loss-of-function mutations of the SLC12A1 gene, encoding the furosemide-sensitive Na-K-Cl cotransporter. Recently, a phenotypic variability has been observed in patients with genetically determined BS, including absence of nephrocalcinosis, hypokalemia, and/or metabolic alkalosis in the first year of life as well as persistent metabolic acidosis mimicking distal renal tubular acidosis. We report the case of a child with a genetically determined diagnosis of Bartter syndrome type 1 who presented with a phenotype of nephrogenic diabetes insipidus, with severe hypernatremia and urinary concentrating defect. In these atypical cases, molecular analysis is mandatory to define the diagnosis, in order to establish the correct clinical and therapeutic management.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl  

    Gamage, Manori (Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka ) , Beneragama, D. (Department of Pathology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka)
    Case reports in pediatrics v.2018 ,pp. 1 - 2 , 2018 , 2090-6803 ,

    초록

    Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Bronchogenic Cyst as an Unusual Cause of a Persistent Cough and Wheeze in Children: A Case Report and Literature Review  

    Abushahin, Ahmed (Division of Pediatric Pulmonology, Hamad Medical Corporation, Doha, Qatar ) , Zarroug, Abdulla (Department of Pediatric Surgery, Sidra Medical and Research Center, Doha, Qatar ) , Wagdi, Magda (Division of General Pediatrics, Hamad Medical Corporation, Doha, Qatar ) , Janahi, Ibrahim (Division of Pediatric Pulmonology, Hamad Medical Corporation, Doha, Qatar)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Wheezing and cough are common case scenarios that pediatricians encountered in their office practices. Although a bronchogenic cyst is an uncommon condition, it is essential to be considered in the differential diagnosis of a chronic cough and wheezing among young children who fail to respond to appropriate medical treatment. A 28-month-old girl was referred to our pediatric pulmonology clinic with persistent symptoms of a cough and wheeze unresponsive to standard asthma therapy. This presentation prompted us to undertake a detailed diagnostic evaluation. The evaluation exposed a cystic mass in the middle mediastinum compressing the trachea and left main bronchus. The cyst was excised and confirmed pathologically to be a benign bronchogenic cyst. Subsequently, the patient recovered well and had been free of respiratory symptoms during follow-up visits. This report highlights one of the rare causes of wheezing and cough in young children and emphasizes the importance of considering it in the differential diagnosis of a child presenting with refractory asthma-like symptoms. This is important for early diagnosis and management and to avoid unpredictable complications of this treatable condition.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Lymphatic Drainage of Legs Reduces Edema of the Arms in Children with Lymphedema  

    Pereira de Godoy, Lí (General Clinics in the Medical School of Marilia and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil ) , via Maria (Medical School of Votuporanga and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil ) , Pereira de Godoy Capeletto, Paula (Medicine School in São José) , de Fá (do Rio Preto (FAMERP) and Research Group in the Clínica Godoy, Sao Jose do Rio Preto, SP, Brazil ) , tima Guerreiro Godoy, Maria (Cardiology and Cardiovascular Surgery Department of the Medical School in São Jose do Rio Preto (FAMERP) and CNPq (National Council for Research and Development), Sao Jose do Rio Preto, SP, Brazil) , Pereira de Godoy, Jose Maria
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Objective . The aim of the present study is to report on the reduction of edema of lymphedematous arms just by treating the lower limbs. Methods . A 16-year-old girl reported that she has started having right lower limb edema at the age of three. At age 13, she performed a lymphoscintigraphy that confirmed the diagnosis of primary lymphedema of the four limbs. Recently she sought treatment at the ClInica Godoy in SAo Jose do Rio Preto where she was submitted to intensive treatment for eight hours per day for five days using manual (Godoy & Godoy technique) and mechanical lymphatic therapy (RA Godoy ? ) of the lower limbs, cervical lymphatic therapy (cervical stimulation), and the continuous use of a grosgrain stocking. Results . At the end of treatment, reductions in the sizes of both arms and legs were noted even without the use of any specific therapy for the arms. After four years, the size of the arms was normal. Conclusion . Treatment of lymphedema of the legs has systemic repercussions that may lead to the reduction in swelling of other untreated regions of the body.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Corrigendum to “A Rare Cause of Childhood Cerebellitis-Influenza Infection: A Case Report and Systematic Review of Literature”  

    Gö (Ege University Medical Faculty, Department of Pediatrics, General Pediatrics Unit, Ege University, Bornova, Izmir, Turkey ) , kç (Ege University Medical Faculty, Department of Pediatrics, Division of Pediatric Infection Disease, Ege University, Bornova, Izmir, Turkey ) , e, Ş (Ege University Medical Faculty, Department of Pediatrics, Ege University, Bornova, Izmir, Turkey ) , ule (Virology Laboratory, Ege University Medical Faculty, Department of Medical Microbiology, Ege University, Bornova, Izmir, Turkey) , Kurugol, Zafer , Aslan, Aslı , Ç , iç , ek, Candan
    Case reports in pediatrics v.2018 ,pp. 1 - 2 , 2018 , 2090-6803 ,

    초록

    Objective . The aim of the present study is to report on the reduction of edema of lymphedematous arms just by treating the lower limbs. Methods . A 16-year-old girl reported that she has started having right lower limb edema at the age of three. At age 13, she performed a lymphoscintigraphy that confirmed the diagnosis of primary lymphedema of the four limbs. Recently she sought treatment at the ClInica Godoy in SAo Jose do Rio Preto where she was submitted to intensive treatment for eight hours per day for five days using manual (Godoy & Godoy technique) and mechanical lymphatic therapy (RA Godoy ? ) of the lower limbs, cervical lymphatic therapy (cervical stimulation), and the continuous use of a grosgrain stocking. Results . At the end of treatment, reductions in the sizes of both arms and legs were noted even without the use of any specific therapy for the arms. After four years, the size of the arms was normal. Conclusion . Treatment of lymphedema of the legs has systemic repercussions that may lead to the reduction in swelling of other untreated regions of the body.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Same Phenotype in Children with Growth Hormone Deficiency and Resistance  

    Ioimo, Irene (University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy ) , Guarracino, Carmen (University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy ) , Meazza, Cristina (University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy ) , Domené (Centro de Investigaciones Endocrinológicas “Dr. César Bergadá” (CEDIE) CONICET-FEI, División de Endocrinología, Hospital de Niños “Ricardo Gutiérrez”, Buenos Aires, Argentina ) , , Horacio M. (University of Pavia, Piazzale Golgi 2, 27100 Pavia, Italy) , Bozzola, Mauro
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    By definition, about 2.5% of children show a short stature due to several causes. Two clinical conditions are characterized by serum IGF-I low levels, idiopathic GH deficiency (IGHD), and GH insensitivity (GHI), and the phenotypic appearance of these patients may be very similar. We studied two children with short stature and similar phenotypes. The first case showed frontal bossing, doll face, acromicria, and truncal obesity, with a GH peak GH1 gene, type IA idiopathic GHD was diagnosed. The second case had cranium hypoplasia, a large head, protruding forehead, saddle nose, underdeveloped mandible, and a micropenis. Basal GH levels were high (28.4 ng/ml) while serum IGF-I levels were low and unchangeable during the IGF-I generation test. Laron syndrome was confirmed after the molecular analysis of the GH receptor ( GHR ) gene. IGHD type IA and Laron syndrome is characterized by opposite circulating levels of GH, while both have reduced levels of IGF-I, with an overlapping clinical phenotype, lacking the effects of IGF-I on cartilage. These classical cases show the importance of differential diagnosis in children with severe short stature.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Successful Utilization of Mechanical Thrombectomy in a Presentation of Pediatric Acute Ischemic Stroke  

    Kim, Esther S. (Department of Emergency Medicine, Lehigh Valley Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA ) , Mason, Erica K. (Department of Emergency Medicine, Lehigh Valley Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA ) , Koons, Andrew (Department of Emergency Medicine, Lehigh Valley Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA ) , Quinn, Shawn M. (Department of Emergency Medicine, Lehigh Valley Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA ) , Williams, Robert L. (Diagnostic Radiology, Section of Neuroradiology, Lehigh Valley Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Guidelines regarding the management of acute ischemic stroke (AIS) in the pediatric population using mechanical recanalization procedures are lacking. We present a case of a 14-year-old male diagnosed in the Emergency Department with an acute onset stroke who underwent successful mechanical clot removal by interventional radiology.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  9. [해외논문]   A Rare Case of Lemierre-Like Syndrome: A Case Report and Literature Review  

    Ibrahim, Judy (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Noureddin, Muhammad Bassel (Pediatrics Department, General Pediatrics Division, Tawam Hospital, Al Ain, UAE ) , Lootah, Ali (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Al Khalidi, Aisha (Pediatrics Department, Pediatric Infectious Diseases Division, Tawam Hospital, Al Ain, UAE ) , Ghatasheh, Ghassan (Pediatrics Department, Pediatric Infectious Diseases Division, Tawam Hospital, Al Ain, UAE ) , Al Tatari, Hossam (Pediatrics Department, Pediatric Infectious Diseases Division, Tawam Hospital, Al Ain, UAE)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Lemierre's syndrome (LS) is a serious rare complication of oropharyngeal infections. It is characterized by thrombosis of internal jugular vein that rapidly progresses into sepsis and is typically caused by anaerobes. Most of the reported cases have been linked to Fusobacterium necrophorum ; however, there are a handful of reported cases due to aerobes. It is primarily the disease of healthy young adults and can present in school-aged children. The early recognition and treatment of this complication results in resolution of the illness; nevertheless, there have been some concerns about chronic venous insufficiency as a long-term complication. We report a case of a 6-year-old boy, who presented with fever and headache with a history of sore throat. His blood culture was positive for group A Streptococcus (GAS) and was subsequently found to have internal jugular vein, sigmoid, and transverse sinus vein thrombosis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Osteomyelitis in Cat-Scratch Disease: A Never-Ending Dilemma—A Case Report and Literature Review  

    Donà (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy ) , , D. (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Nai Fovino, L. (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Mozzo, E. (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Cabrelle, G. (Pediatric Emergency Department, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Bordin, G. (PENTA Foundation, Padua, Italy ) , Lundin, R. (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Giaquinto, C. (Pediatric Emergency Department, Department for Woman and Child Health, University of Padua, Padua, Italy ) , Zangardi, T. (Division of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy) , Rampon, O.
    Case reports in pediatrics v.2018 ,pp. 1 - 8 , 2018 , 2090-6803 ,

    초록

    Background . We performed a review of published case studies of osteomyelitis associated with cat-scratch disease to consolidate existing information on clinical presentation, diagnostic tools, therapy, and outcome, as well as presenting a case of disseminated cat-scratch disease in a 12-year-old female with skull osteomyelitis and spleen involvement. Methods . A search for articles indexed in PubMed, Embase, and Google Scholar was performed with the search terms “ Bartonella ,” “bone,” “osteomyelitis,” “osteolytic,” and “cat-scratch disease” limited to the immunocompetent pediatric population and articles in English. Results . 51 cases were identified. The average age was 7.8 years with equal sex distribution. Fever (84.3%), often with a prolonged course (64.7%), and osteoarticular pain (88.2%) were the most common clinical findings. Lymphadenopathy was present in 64.7% of patients. Vertebral body was mainly involved (51.9%). MRI (50%) and bone scintigraphy (48.1%) were favored to confirm osteomyelitis, while serology was the preferred microbiological diagnostic. Various antibiotics were prescribed in combined or sequential regimens, with median duration of therapy of 23 days. About 12.5% of patients did not receive any treatment. Most patients had excellent prognosis; in particular, all patients not receiving any therapy showed complete recovery and no recurrence of symptoms. Conclusions . Bartonella henselae should be considered in differential diagnosis of localized lymphadentitis. Osteoarticular pain or limitation during cat-scratch disease in children should always be investigated for bone spreading. Owing to good prognosis, invasive procedures to obtain the bone material should be avoided. Serology is the gold standard diagnostic tool and MRI is the best radiographic technique to define bone and surrounding tissue involvement. Treatment represents a never-ending dilemma: surgical intervention or use of antibiotics is still controversial, and more studies are needed to define the best antimicrobial regimen.

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    Fig. 1 이미지

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