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T : 목차정보

Case reports in pediatrics 81건

  1. [해외논문]   A Case of Malignant Melanoma Arising in Mediastinal Malignant Teratoma  

    Nozaki, Ikuma (National Center for Global Health and Medicine, Tokyo, Japan ) , Tone, Yumi (National Center for Global Health and Medicine, Tokyo, Japan ) , Yamanaka, Junko (National Center for Global Health and Medicine, Tokyo, Japan ) , Uryu, Hideko (National Center for Global Health and Medicine, Tokyo, Japan ) , Shimizu-Motohashi, Yuko (National Center for Global Health and Medicine, Tokyo, Japan ) , Sato, Noriko (National Center for Global Health and Medicine, Tokyo, Japan ) , Matsushita, Takeji (National Center for Global Health and Medicine, Tokyo, Japan)
    Case reports in pediatrics v.2018 ,pp. 1 - 5 , 2018 , 2090-6803 ,

    초록

    We report about a 14-year-old boy who presented with an anterior mediastinal mass that was diagnosed as malignant teratoma. Surgical resection was performed along with pre- and postoperative chemotherapy. Although elevated alpha-fetoprotein became negative, he experienced pain in his right hip joint 3 months after resection. Systematic evaluation revealed multiple locations of metastasis, and the pathological diagnosis based on bone biopsy was malignant melanoma originating from malignant teratoma, which rapidly progressed. He died 15 months after diagnosis of the original malignant teratoma. Diagnosing and treating malignant transformation of teratoma, including malignant melanoma, is difficult because it is very rare. To our knowledge, this is the second reported case of malignant melanoma arising from a mediastinum malignant teratoma, with both cases having a poor prognosis. In addition to the follow-up of tumor markers, systematic evaluation, including imaging, should be considered even after remission to monitor malignant transformation of teratoma. We expect to establish a successful therapy and improve mortality rate after more such cases are accumulated.

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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]   A Rare Cause of Acute Hepatopancreatitis in a Nepalese Teen  

    Adhikari, Swastika (Department of Pediatrics, Grande International Hospital, Dhapasi, Kathmandu, Nepal ) , Shrestha, Ashish Lal (Department of Pediatric Surgery, Grande International Hospital, Dhapasi, Kathmandu, Nepal ) , Thapa, Sanjay Raj (Department of Pediatrics, Grande International Hospital, Dhapasi, Kathmandu, Nepal ) , Ghimire, Amrit (Department of Pediatrics, Grande International Hospital, Dhapasi, Kathmandu, Nepal)
    Case reports in pediatrics v.2018 ,pp. 1 - 6 , 2018 , 2090-6803 ,

    초록

    Background . Acute pancreatitis (AP) coexisting with acute hepatitis (AH) in children is uncommon. Moreover, a single bacterial cause explaining both the complications is even rarer. Despite familiarity with the usual presentation of enteric fever, atypical presentations can go unnoticed. Case Presentation . A 16-year-old previously healthy male presented to the emergency unit with recurrent swinging pyrexia, abdominal symptoms, and jaundice for a week. Blood work-up revealed deranged liver function tests (LFTs) and elevated pancreatic enzymes. Further assessment with imaging made a diagnosis of AH and AP without necrosis. Blood culture positivity for Salmonella typhi eventually confirmed the diagnosis. Conclusion . This is an uncommon presentation of an infection that is fairly common in our part of globe. Nevertheless, early suspicion and recognition is the key to timely management. Regular follow-ups are required to pick complications up early.

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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]   Dysmorphic Short Stature: Radiological Diagnosis of Trichorhinophalangeal Syndrome  

    Nicolescu, Corina Ramona (Division of Endocrinology and Diabetes, Department of Pediatrics, University of Liege, Centre Hospitalier Regional de la Citadelle, Bld du 12eme de Ligne 1, 4000 Liege, Belgium ) , Kasongo, Laura (Division of Endocrinology and Diabetes, Department of Pediatrics, University of Liege, Centre Hospitalier Regional de la Citadelle, Bld du 12eme de Ligne 1, 4000 Liege, Belgium ) , Rausin, Lé (Radiology Department, University of Liege, Centre Hospitalier Regional de la Citadelle, Bld du 12eme de Ligne 1, 4000 Liege, Belgium) , on
    Case reports in pediatrics v.2018 ,pp. 1 - 5 , 2018 , 2090-6803 ,

    초록

    Trichorhinophalangeal syndrome (TRPS), a type of skeletal dysplasia, is characterized by a triad of dysmorphic (bulbous nose and large ears); ectodermal (thin and sparse hair); and skeletal (short stature and cone-shaped epiphyses) findings, and this combination is helpful for early diagnosis and appropriate follow-up. A 14-year-old boy presented with short stature and distinctive facial features, and following the first clinical and biological evaluation, no precise diagnosis was reached. Progressive bilateral development of noninflammatory and painless deformity of his second finger required a radiological exam that highlighted the key elements (cone-shaped epiphyses) for final diagnosis. This case illustrates the difficulties to early recognition of TRPS when the clinical presentation is not complete and radiological findings are missing.

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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]   Hemophagocytic Lymphohistiocytosis Associated with Salmonella typhi Infection in a Child: A Case Report with Review of Literature  

    Uribe-Londono, Juanita (Pediatric Department, Universidad CES, Medellin, Colombia ) , Castano-Jaramillo, Lina Maria (Pediatric Department, Universidad CES, Medellin, Colombia ) , Penagos-Tascon, Laura (Pediatric Department, Universidad Pontificia Bolivariana, Medellin, Colombia ) , Restrepo-Gouzy, Andrea (Pediatric Infectious Diseases, Pablo Tobon Uribe Hospital, Medellin, Colombia ) , Escobar-Gonzalez, Andres-Felipe (Pediatic Hematology, Pablo Tobon Uribe Hospital, Medellin, Colombia)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    We present the case of an 8-year-old girl with hemophagocytic lymphohistiocytosis secondary to a Salmonella typhi infection. She received antibiotic treatment and intravenous immunoglobulin with complete resolution of the symptoms. We present a review of previously reported pediatric cases and propose a gradual approach to treatment.

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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]   Craniofacial and Dental Manifestations of Melnick-Needles Syndrome: Literature Review and Orthodontic Management  

    Kustrzycka, Dorota (Division of Facial Abnormalities, Department of Dentofacial Orthopedics and Orthodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland ) , Mikulewicz, Marcin (Division of Facial Abnormalities, Department of Dentofacial Orthopedics and Orthodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland ) , Pelc, Anna (Division of Facial Abnormalities, Department of Dentofacial Orthopedics and Orthodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland ) , Kosior, Piotr (Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland ) , Dobrzyń (Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland) , ski, Maciej
    Case reports in pediatrics v.2018 ,pp. 1 - 5 , 2018 , 2090-6803 ,

    초록

    The aim of this article was to present a characteristic clinical image of Melnick-Needles syndrome using an example of an 11.5-year-old female patient treated at the Facial Congenital Disorders Outpatient Clinic as well as to present the actual literature review of the surgical treatment. The patient was diagnosed with several characteristics typical for Melnick-Needles syndrome: single-sided hearing loss, malocclusion, and facial dysmorphism, among others. Due to malocclusion and facial dysmorphism, the patient with Melnick-Needles syndrome requires orthodontic treatment with surgical intervention. Mandibular distraction with fixed appliance treatment is a recommended treatment protocol.

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

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  6. [해외논문]   Novel HAX1 Gene Mutation in a Vietnamese Boy with Severe Congenital Neutropenia  

    Tran, Tham Thi (Department of Pediatrics, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam ) , Vu, Quang Van (Department of Pediatrics, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam ) , Wada, Taizo (Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Science, Kanazawa University, Kanazawa, Japan ) , Yachie, Akihiro (Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Science, Kanazawa University, Kanazawa, Japan ) , Le Thi Minh, Huong (National Hospital of Pediatrics, Hanoi, Vietnam ) , Nguyen, Sang Ngoc (Department of Pediatrics, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Severe congenital neutropenia (SCN) is a rare disease that involves a heterogeneous group of hereditary diseases. Mutations in the HAX1 gene can cause an autosomal recessive form of SCN-characterized low blood neutrophil count from birth, increased susceptibility to recurrent and life-threatening infections, and preleukemia predisposition. A 7-year-old boy was admitted due to life-threatening infections, mental retardation, and severe neutropenia. He had early-onset bacterial infections, and his serial complete blood count showed persistent severe neutropenia. One older sister and one older brother of the patient died at the age of 6 months and 5 months, respectively, because of severe infection. Bone marrow analysis revealed a maturation arrest at the promyelocyte/myelocyte stage with few mature neutrophils. In direct DNA sequencing analysis, we found a novel homozygous frameshift mutation (c.423_424insG, p.Gly143fs) in the HAX1 gene, confirming the diagnosis of SCN. The patient was successfully treated with granulocyte colony-stimulating factor (G-CSF) and antibiotics. A child with early-onset recurrent infections and neutropenia should be considered to be affected with SCN. Genetic analysis is useful to confirm diagnosis. Timely diagnosis and suitable treatment with G-CSF and antibiotics are important to prevent further complication.

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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]   Diagnosis of Systemic Lupus Erythematosus in a Polynesian Male with a History of Rheumatic Fever: A Case Report and Literature Review  

    Diaz, Charyse (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Lim, Matthew A. (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Liu, Chloe A. (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Miwa, Chloe S. (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Tokunaga, Darcy (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Hamamura, Faith D. (Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA ) , Yamamoto, Kara (Department of Pediatrics, University of) , Kurahara, David
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    The presence of rheumatic heart disease (RHD) and systemic lupus erythematosus (SLE) has rarely been described in one patient. This report describes an adolescent Polynesian male with RHD who developed SLE years later. Initially, he fulfilled modified Jones criteria for rheumatic fever with aortic insufficiency, transient arthritis, elevated streptococcal titers, and a high erythrocyte sedimentation rate with a negative antinuclear antibody (ANA). He responded well to nonsteroidal anti-inflammatory and penicillin prophylaxis, which supported the diagnosis of rheumatic fever. Five years after his RHD diagnosis, he developed pancreatitis with glomerulonephritis, nephrosis, and pancytopenia. In addition, laboratory results revealed that he had multiple autoantibodies: anti-Sm and extremely elevated anti-dsDNA and ANA, fulfilling diagnostic criteria for SLE. The patient was treated, and he responded to pulse steroids followed by oral steroid therapy. To our knowledge, there are no known reported cases of a patient who was diagnosed with both RHD and SLE and met the clinical criteria for both diseases. The rarity of this concurrent disease process in one patient suggests a possible overlap in humoral immunity toward self-antigens as well as ethnic variability that increases predisposition to rheumatologic diseases.

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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]   A Case of Upper Limb Osteomyelitis and Septic Arthritis Presenting as Pseudoparalysis in a Two-Week-Old  

    Stohr, Kuldeep (Trauma and Orthopaedics Department, Cambridge University Hospitals Trust, Cambridge, UK ) , Xu, Guang Xia (Trauma and Orthopaedics Department, Cambridge University Hospitals Trust, Cambridge, UK)
    Case reports in pediatrics v.2018 ,pp. 1 - 2 , 2018 , 2090-6803 ,

    초록

    Pseudoparalysis presenting in infants is a rare manifestation, where infection and trauma are the principle differentials. We present a case of a two-week-old baby boy with pseudoparalysis who was initially diagnosed as Erb's palsy when presented in the emergency department and later re-presented with signs of sepsis. A later diagnosis of osteomyelitis of the humerus and septic arthritis of the shoulder was made. Despite antibiotic therapy and surgical drainage, the proximal epiphysis of his humerus remains abnormal; however, he has no apparent functional deficit of his right arm at four-year follow-up.

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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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  9. [해외논문]   Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy  

    Gaffar, Sheema (Department of Pediatrics, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, VA 23507, USA ) , Birknes, John K. (Division of Pediatric Neurosurgery, Children's Hospital of the King's Daughters, 601 Children's Lane, Norfolk, VA 23507, USA ) , Cunnion, Kenji M. (Department of Pediatrics, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, VA 23507, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Fungal infections are rare causes of acute surgical wound infections, but Candida is not an infrequent etiology in chronic wound infections. Trichophyton species is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case of Trichophyton tonsurans causing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grew Trichophyton fungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics.

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

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  10. [해외논문]   Carmi Syndrome in a Preterm Neonate: A Multidisciplinary Approach and Ethical Challenge  

    Hicks, Timothy D. (Department of Neonatology, Children's Hospital of Orange County, Orange, CA, USA ) , Singh, Himanshu (Department of Neonatology, Children's Hospital of Orange County, Orange, CA, USA ) , Mikhael, Michel (Department of Neonatology, Children's Hospital of Orange County, Orange, CA, USA ) , Shah, Anita R. (Department of Neonatology, Children's Hospital of Orange County, Orange, CA, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 6 , 2018 , 2090-6803 ,

    초록

    Epidermolysis bullosa (EB) is characterized by blistering of the skin and mucosal erosions caused by hemidesmosomal abnormalities. EB is divided into 3 major subgroups depending on the particular location of tissue separation: EB simplex, dystrophic EB, and junctional EB. Junctional EB (JEB) can further be broken down into Herlitz, non-Herlitz, and JEB with pyloric atresia (Carmi syndrome) depending on genetic and histologic testing. When extensive, management of a patient with EB can be challenging due to not only cutaneous but also extracutaneous manifestations as well. Families and health care teams are often faced with difficult decisions in their infant's best interest. We report a case of a preterm neonate with Carmi syndrome and unique findings on immunofluorescence studies. The patient's course was complicated by multisystem involvement and ultimately death. A multidisciplinary approach was crucial in the light of diagnostic, therapeutic, and ethical challenges.

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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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