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Case reports in pediatrics 81건

  1. [해외논문]   Thoracic Empyema as Rare Complication of an Appendicular Mass: A Case Study and Review of the Literature  

    Vasquez-Rios, George (Instituto de Medicina Tropical Alexander von Humbolt, Universidad Peruana Cayetano Heredia, Lima, Peru ) , Calixto-Aguilar, Lesly (Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru ) , Pajuelo, Richard (Departamento de Cirugia Pediatrica, Hospital Cayetano Heredia, Lima, Peru ) , Alarcon, Wilder (Departamento de Pediatria, Hospital Cayetano Heredia, Lima, Peru)
    Case reports in pediatrics v.2018 ,pp. 1 - 6 , 2018 , 2090-6803 ,

    초록

    Introduction . Thoracic empyema is an infrequent complication of appendicitis that has rarely been reported in the literature. Case Presentation and Review of the Literature . The case of a 11-year-old boy who was admitted for medical management of an appendicular mass is presented. His clinical course was complicated by the development of an appendicular abscess and an extensive right-sided empyema. A comprehensive review of the literature was conducted including the most representative cases. The data were collected and analyzed by two independent investigators. Ten cases were found. Most patients were young individuals (mean age: 25.1 years; male : female ratio: 0.5). Risk factors for thoracic empyema included pregnancy (10%) and age (60%). The most frequent organisms isolated were Escherichia coli, Bacteroides spp., and Klebsiella spp. The survival rate was 100%. Conclusion . Thoracic empyema should be considered a potential cause of respiratory distress in patients with appendicitis. Furthermore, the abdomen should be carefully evaluated as a source of infection in patients with thoracic empyema without an underlying lung disease.

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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.

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  2. [해외논문]   A Case of Sirenomelia Associated with Hypoplastic Left Heart with a Healthy Co-Twin: A Rare Entity  

    Al Yaqoubi, Houda Nasser (Department of Obstetrics and Gynaecology, Ministry of Health, Ibri Regional Hospital, Ibri, Oman ) , Al Badi, Muna Mubarak (Department of Obstetrics and Gynaecology, Ministry of Health, Ibri Regional Hospital, Ibri, Oman ) , Ambu Saidi, Farida Mohsin (Department of Obstetrics and Gynaecology, Ministry of Health, Ibri Regional Hospital, Ibri, Oman ) , Al Shafouri, Nasser Shaikhan Taaeeb (Department of Obstetrics and Gynaecology, Ministry of Health, Ibri Regional Hospital, Ibri, Oman)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Sirenomelia is a rare developmental malformation and is incompatible to life. The incidence of sirenomelia, as recorded in the literature, is estimated to be approximately between 1.5 and 4.2 per 1,00,000 births. Around 15% of sirenomelia cases are associated with twin pregnancy, most often in monozygotic cases with an incidence of 7%. In monozygotic twins, the risk of sirenomelia is nearly 100-150 times higher as compared to dizygotic twins or singleton pregnancies. Until now, only two cases of sirenomelia associated with hypoplastic left heart have been reported in the literature. Here, we present a monozygotic twin pregnancy, where one fetus was diagnosed with sirenomelia associated with hypoplastic left heart syndrome and the co-twin was absolutely healthy.

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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]   Untreated Congenital Hypothyroidism Mimicking Hirschsprung Disease: A Puzzling Case in a One-Year-Old Child  

    Tahan, Soraia (Division of Pediatric Gastroenterology, Federal University of Sao Paulo, UNIFESP/EPM, 826 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil ) , Siviero-Miachon, Adriana Aparecida (Division of Pediatric Endocrinology, UNIFESP/EPM, 826 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil ) , de Faria Soares, Maria de Fatima (Division of Diagnostic Imaging and Radiology, UNIFESP/EPM, 800 Napoleao de Barros Str., 04024-002 Sao Paulo, SP, Brazil ) , Soares Martins-Moura, Elaine Cristina (Division of Pediatric Surgery, UNIFESP/EPM, 687 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil ) , Peterlini, Fabio Luis (Division of Pediatric Surgery, UNIFESP/EPM, 687 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil ) , Batista de Morais, Mauro (Division of Pediatric Gastroenterology, Federal University of Sao Paulo, UNIFESP/EPM, 826 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil ) , Spinola-Castro, Angela Maria (Division of Pediatric Endocrinology, UNIFESP/EPM, 826 Coronel Lisboa Str., 04020-041 Sao Paulo, SP, Brazil)
    Case reports in pediatrics v.2018 ,pp. 1 - 7 , 2018 , 2090-6803 ,

    초록

    Congenital hypothyroidism is a clinical emergency due to its potential risk of mental retardation. Constipation might be present in hypothyroid children. However, Hirschsprung disease is rarely associated with congenital hypothyroidism. Herein, a case of congenital hypothyroidism in a one-year-old child mimicking Hirschsprung disease is described. Adequate treatment with levothyroxine sodium tablets controlled intestinal dysmotility that mimicked congenital intestinal aganglionosis due to the critical influence of thyroid hormones on bowel motility.

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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]   Successful Treatment of Severe Atopic Dermatitis with Calcitriol and Paricalcitol in an 8-Year-Old Girl  

    Bothou, Christina (Division of Endocrinology, Diabetes and Metabolism, Medical Department 1, University Hospital, Goethe University, Frankfurt am Main, Germany ) , Alexopoulos, Alexis (Pediatric Dermatology Clinic, 1st Department of Pediatrics, Aghia Sofia Children's Hospital, University of Athens, Athens, Greece ) , Dermitzaki, Eleni (Department of Pediatric, Adolescent Endocrinology & Diabetes, Athens Medical Center, Athens, Greece ) , Kleanthous, Kleanthis (Division of Pediatric Endocrinology, 3rd Department of Pediatrics, Attikon University Hospital, Haidari, Athens, Greece ) , Papadimitriou, Anastasios (Division of Pediatric Endocrinology, 3rd Department of Pediatrics, Attikon University Hospital, Haidari, Athens, Greece ) , Mastorakos, George (Endocrine Unit, Second Department of Obstetrics and Gynecology, Aretaieion Hospital, Medical School, University of Athens, Athens, Greece ) , Papadimitriou, Dimitrios T. (Department of Pediatric, Adolescent Endocrinology & Diabetes, Athens Medical Center, Athens, Greece)
    Case reports in pediatrics v.2018 ,pp. 1 - 5 , 2018 , 2090-6803 ,

    초록

    Atopic dermatitis (AD) is a chronic inflammatory disease affecting children and adolescence. The traditional therapeutic options for AD, including emollients topically and immune modulatory agents systemically focusing on reducing skin inflammation and restoring the function of the epidermal barrier, are proven ineffective in many cases. Several studies have linked vitamin D supplementation with either a decreased risk to develop AD or a clinical improvement of the symptoms of AD patients. In this report, we present a girl with severe AD who under adequate supplementation with cholecalciferol was treated with calcitriol and subsequently with paricalcitol. She had significant improvement-almost healing of her skin lesions within 2 months, a result sustained for more than 3 years now. Because of hypercalciuria as a side effect from calcitriol therapy, treatment was continued with paricalcitol, a vitamin D analogue used in secondary hyperparathyroidism in chronic kidney disease. Calcitriol therapy may be considered as a safe and efficacious treatment option for patients with severe AD, particularly for those with refractory AD, under monitoring for possible side effects. Treatment with paricalcitol resolves hypercalciuria, is safe, and should be further investigated as an alternative treatment of atopic dermatitis and possibly other diseases of autoimmune origin.

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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]   Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis  

    Zemore, Zachary (Departments of Emergency and Internal Medicine, VCU Health, Richmond, VA, USA ) , Sharma, Avni (Department of Pediatrics, VCU Health, Richmond, VA, USA ) , Carter, Kerri (Department of Pediatrics, Division of Cardiology, VCU Health, Richmond, VA, USA ) , Baghdassarian, Aline (Department of Emergency Medicine, Division of Pediatric Emergency Medicine, VCU Health, Richmond, VA, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    A pediatric patient with hypoxia or cyanosis can frighten even the most seasoned emergency providers. Patients with these symptoms require immediate evaluation and intervention to stabilize their condition. While the differential can be broad, specific attention must be paid to cardiopulmonary etiologies. Tetralogy of Fallot is the most common cyanotic congenital heart abnormality, and routine screening surprisingly misses a significant amount of these cases. This case serves as an example of a missed diagnosis by screening efforts and reaffirms the resuscitation algorithm of a hypoxic pediatric patient that all emergency providers should be familiar with.

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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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  6. [해외논문]   Retrospondyloptosis of the Spine Secondary to Nonaccidental Trauma  

    Duffin, T. S. (Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA ) , Thomas, S. W. (Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Spinal fracture rates from NAT have been reported in

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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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  7. [해외논문]   Intramural Bowel Hematoma Presenting as Small Bowel Obstruction in a Patient on Low-Molecular-Weight Heparin  

    Choi, Beatrix Hyemin (Division of Pediatric Surgery, Department of Surgery, NYU School of Medicine, Hassenfeld Children's Hospital at NYU Langone, New York, NY, USA ) , Koeckert, Michael (Department of Surgery, NYU School of Medicine, NYU Langone Medical Center, New York, NY, USA ) , Tomita, Sandra (Division of Pediatric Surgery, Department of Surgery, NYU School of Medicine, Hassenfeld Children's Hospital at NYU Langone, New York, NY, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    There is increasing use of low-molecular-weight heparin (LMWH) for treatment of pediatric thromboembolic disease as it has been shown to be safe and effective. It has several advantages over unfractionated heparin, such as reduced need for monitoring, easier route of administration, decreased risk of heparin-induced thrombocytopenia, and lack of drug-drug interactions. Nevertheless, LMWH still poses a bleeding risk as with any anticoagulant therapy. We present the case of a 4-year-old boy who was placed on LMWH for a catheter-related deep venous thrombosis in the setting of intractable seizures and subsequently developed a small bowel obstruction secondary to a suspected intussusception. He underwent exploratory laparotomy and was found to have an intramural bowel hematoma. Prior to this bleed, the patient had been monitored daily, and his anti-Xa levels were found to be in the therapeutic range. This case highlights the need for a high index of suspicion for spontaneous bleeding even in the setting of therapeutic anti-Xa levels.

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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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  8. [해외논문]   Congenital Rhabdomyosarcoma Presenting as a Neck Mass at Birth  

    Waldman, Leah E. (Department of Radiology, Lenox Hill Hospital of Northwell Health, 100 E. 77th St., New York, NY 10075, USA ) , Williamson, Alex K. (Department of Pathology, Cohen Children's Medical Center of Northwell Heath, 26901 76th Ave., New Hyde Park, NY 11040, USA ) , Amodio, John B. (Department of Pediatric Radiology, Long Island Jewish Medical Center of Northwell Heath, 27005 76th Ave., New Hyde Park, NY 11040, USA ) , Collins, Lee (Department of Pediatric Radiology, Long Island Jewish Medical Center of Northwell Heath, 27005 76th Ave., New Hyde Park, NY 11040, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Rhabdomyosarcoma is a malignant tumor of the soft tissues which preferentially affects the pediatric population. Neonatal rhabdomyosarcoma is rare, and much of the published literature concerning this entity consists of isolated case reports and small case series. Recent work involving the classification of rhabdomyosarcoma has helped to delineate prognostic information based on gene rearrangements. Here, we present a case of congenital rhabdomyosarcoma seen in utero which manifested as a neck mass at birth and was found to harbor a favorable gene fusion.

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

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  9. [해외논문]   Stenotrophomonas maltophilia Meningitis in a Term Healthy Neonate: A Case Report and Literature Review  

    Ibrahim, Judy (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Hamwi, Nadia (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Rabei, Hala (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Abdelghafar, Mohamed (Department of Academic Affairs, Tawam Hospital, Al Ain, UAE ) , Al-Dulaimi, Zahraa (Dubai Medical College, Dubai, UAE ) , Al Tatari, Hossam (Pediatrics Infectious Diseases Department, Tawam Hospital, Al Ain, UAE)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Stenotrophomonas maltophilia is an environmental bacterium of growing concern due to its multidrug resistance and pathogenic potential. It is considered an opportunistic pathogen of nosocomial origin most of the time, targeting a specific patients' population. We describe a case of a previously healthy full-term neonate who was found to have S. maltophilia meningitis and was successfully treated with a combination of Trimethoprim-Sulfamethoxazole and Ciprofloxacin.

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

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  10. [해외논문]   Incontinentia Pigmenti Misdiagnosed as Neonatal Herpes Simplex Virus Infection  

    Abdollahimajd, Fahimeh (Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Fallahi, Minoo (Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Kazemian, Mohammad (Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Nilipour, Yalda (Pediatric Pathology Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Radfar, Mitra (Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Tehranchi, Sedigheh Tahereh (Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Incontinentia pigmenti (IP) is an X-linked dominant neurocutaneous syndrome with ophthalmologic, neurologic, cutaneous, and dental manifestations and in most cases antenatally lethal in boys. Occasionally, typical IP may occur in boys due to Klinefelter syndrome or a genomic mosaicism. Skin lesions are observed in 4 stages: blistering, verrucous linear plaques, swirling macular hyperpigmentation, followed by linear hypopigmentation that develop during adolescence and early adulthood. Neonatal herpes simplex virus (HSV) infection can be manifested in 3 forms: localized, disseminated, and central nervous system (CNS) involvement. Timely diagnosis and treatment of neonatal HSV infection is critical. In this case report, we present a 12-day female newborn with a history of maternal genital HSV in second trimester and vesicular lesions on the upper and lower limbs that was appeared at first hours of life. She was admitted in the maternity hospital that was born and was treated by antibiotic and acyclovir for 11 days. Then, she readmitted for her distributed vesicular lesions. The results of blood and CSF for HSV PCR were negative. Eventually the diagnosis for incontinentia pigmenti was made by consultation with a dermatologist, and skin biopsy confirmed the diagnosis.

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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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