scholarly journals Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Luis Enrique Sánchez-Sierra ◽  
Roberto Antonio Martínez-Quiroz ◽  
Héctor S. Antúnez ◽  
Humberto Cabrera-Interiano ◽  
Fernando Josué Barrientos-Melara
Keyword(s):  
Acute Abdomen ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Artery Occlusion ◽  
Histopathological Study ◽  
Testicular Artery ◽  
Case Presentation ◽  
First Case

Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the first case of a testicular artery occlusion by A. costaricensis. Case Presentation. A five year old boy presented with eight days of pain, denying trauma backgrounds and followed with an increase of volume. The treatment was a right simply orchiectomy, finding necrosis of the testicle, the biopsy showed reddish-purple aspect and soft consistency. Histologic studies reveled the presence of a worm inside the testicular artery. Conclusion. The diagnosis of A. costaricensis infection should be considered in all pediatric patients, with signs and symptoms of orchitis or acute abdomen, from endemic areas, may cause occlusion of the testicular artery and appendicular artery causing testicular and cecal appendix necrosis, respectively, even putting the patient’s life at risk. The diagnosis is complex, because the clinical manifestations are similar to an orchitis or acute abdomen, therefore, the definitive diagnosis is made during the surgical intervention and histopathological study.

scholarly journals COVID-19 Could Trigger Systemic Juvenile Idiopathic Arthritis: First Case Report

2020 ◽  
Author(s):  
Vadood Javadi Parvaneh ◽  
Khosro Rahmani
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Acute Abdomen ◽  
Systemic Juvenile Idiopathic Arthritis ◽  
Signs And Symptoms ◽  
The Body ◽  
Case Presentation ◽  
Systemic Jia ◽  
First Case ◽  
Inflammatory Syndrome

Abstract Background: COVID-19 has been reported to cause a variety of signs and symptoms during its three known phases.Case presentation: We report a 7 years-old boy with COVID-19 first presented with an acute abdomen. Then he showed pictures of Kawasaki-like syndrome, a multiorgan inflammatory syndrome in children (MIS-C), and finally systemic juvenile idiopathic arthritis.Conclusion: MIS-C is a result of the hyperinflammatory response of the body to SARS-CoV-2. Although there are increasing reports of this state in children, we reported the first case presenting systemic JIA triggered by COVID-19.

scholarly journals First reported case of penile prosthesis infection from brucellosis: case report

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Nabil Nabil Moohialdin ◽  
Ahmad Shamsodini ◽  
Steven K. Wilson ◽  
Osama Abdeljaleel ◽  
Ibrahim Alnadhari ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Surgical Intervention ◽  
Penile Prosthesis ◽  
Raw Milk ◽  
Prosthesis Infection ◽  
Case Presentation ◽  
First Case ◽  
Milk Ingestion

Abstract Background Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection. Case presentation We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course. Conclusion Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.

scholarly journals Vernix Caseosa Peritonitis after Vaginal Delivery

2013 ◽  
Vol 6 ◽  
pp. CCRep.S12771 ◽  
Author(s):  
Shameema A. Sadath ◽  
Fathiya I. Abo Diba ◽  
Surendra Nayak ◽  
Iman Al Shamali ◽  
Michael F. Diejomaoh
Keyword(s):  
Cesarean Section ◽  
Acute Abdomen ◽  
Vaginal Delivery ◽  
Vacuum Extraction ◽  
Unusual Complication ◽  
Case Presentation ◽  
Vernix Caseosa ◽  
First Case ◽  
Surgical Emergencies ◽  
Uterine Scar

Introduction Vernix caseosa peritonitis (VCP) is a very unusual complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity. Twenty-seven cases have been reported, and all occurred after cesarean section. Case presentation We present a case of VCP following vaginal delivery; this may be the first case reported after vaginal delivery. Mrs. A, 28 years old, gravida 3, para 2, with one previous cesarean section, was admitted at 41 weeks gestation in active labor. Vacuum extraction was performed to deliver a healthy male baby, 4.410 kg, Apgar scores 7, 8. She developed fever, acute abdominal pain, and distension about 3 hours after delivery. A diagnosis of acute abdomen was made. Laparotomy was performed and it revealed neither uterine scar rupture nor other surgical emergencies, but 500 mL of turbid fluid and some cheesy material on the serosal surface of all viscera. Biopsies were taken. She had a course of antibiotics and her recovery was complete. Histology of the peritoneal fluid and tissue biopsy resulted in a diagnosis of VCP. Conclusion Clinical diagnosis of peritonitis due to vernix caseosa should be considered in patients presenting postpartum with an acute abdomen after vaginal delivery.

scholarly journals HISTOPATHOLOGICAL STUDY OF LESIONS OF UMBILICUS

2021 ◽  
pp. 1-3
Author(s):  
Medha P. Kulkarni ◽  
Alka V. Gosavi ◽  
Kshama G. Darunde
Keyword(s):  
Umbilical Hernia ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Histopathological Examination ◽  
Epidermal Cyst ◽  
Histopathological Study ◽  
Hospital Records ◽  
Histopathological Features ◽  
Hernial Sac ◽  
Patent Urachus

Background: A variety of lesions either congenital or acquired affect the umbilicus. We present histopathological study of 55 umbilical lesions over a period of 40 months. Material and Methods: Histopathological features of 55 umbilical lesions were analysed. Data of patients was obtained from the hospital records. There were 45 adult and 10 pediatric patients. Results The most common lesion was umbilical hernia constituting 43 cases. We had six cases of vitellointestinal duct remnants (VDR), two cases each of umbilical granuloma and tuberculosis and one case each of patent urachus and epidermal cyst. Conclusion: Although rare, every lesion of the umbilicus needs histopathological examination since certain lesions like umbilical granuloma can be managed conservatively while others like VDR or umbilical hernia need surgical intervention. Also dormant tuberculosis can be diagnosed on histopathological examination of hernial sac.

scholarly journals Uterine rhabdomyosarcoma complicated by cerebral venous thrombosis and uterine inversion in a young woman: case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongfa Peng ◽  
Jingjing Jiang ◽  
Xianghua Huang
Keyword(s):  
Venous Thrombosis ◽  
Adolescent Girls ◽  
Cerebral Venous Thrombosis ◽  
Actinomycin D ◽  
Surgical Intervention ◽  
Abnormal Uterine Bleeding ◽  
Uterine Neoplasms ◽  
Case Presentation ◽  
Uterine Inversion ◽  
First Case

Abstract Background Uterine rhabdomyosarcoma is an extremely rare malignant tumor that usually affects young women and has a poor prognosis. Case presentation A 19-year-old nulliparous woman presented to the emergency department under sedation due to seizures. Imaging examination revealed cerebral venous thrombosis. During thrombolytic therapy, she developed vaginal bleeding followed by uterine inversion secondary to uterine rhabdomyosarcoma. The inverted uterus was mistaken for a cervical tumour and was removed vaginally. The patient’s disease progressed despite chemotherapy with vincristine, actinomycin D and cyclophosphamide and she died within 6 months. To our knowledge, this is the first case of uterine rhabdomyosarcoma complicated with cerebral venous thrombosis. Conclusions Malignancy is an important diagnostic in patients with cerebral venous thrombosis with no obvious cause. This case demonstrates the importance of considering uterine neoplasms in the differential diagnosis of adolescent girls with abnormal uterine bleeding. Further, careful anatomical evaluation of vaginal masses should be performed prior to surgical intervention.

Pyogenic Arthritis of the Sacroiliac Joint in Pediatric Patients

PEDIATRICS ◽  
1980 ◽  
Vol 66 (3) ◽  
pp. 375-379
Author(s):  
Urs B. Schaad ◽  
George H. McCracken ◽  
John D. Nelson
Keyword(s):  
Pediatric Patients ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Etiologic Agent ◽  
Cast Immobilization ◽  
Radiographic Findings ◽  
Pyogenic Sacroiliitis ◽  
Bone Scans ◽  
Adequate Management

Clinical manifestations, diagnostic studies, and management of pyogenic sacroiliitis were reviewed in 77 pediatric patients. This infection occurs primarily in late childhood, is more common in boys, and has a subacute onset in about two thirds of cases. Recognition of the characteristic signs and symptoms of sacroiliac involvement coupled with radioisotope bone scanning substantially reduces the delay in correct diagnosis that averaged 3.9 weeks in all patients (4.8 weeks in those without and 1.7 weeks in those with bone scans performed). Joint aspiration under biplane fluoroscopic control and culture of the aspirated material is indicated in establishing the specific etiologic agent which is Staphylococcus aureus in most cases. Adequate management of pyogenic sacroiliitis consists of appropriately monitored antibiotic treatment and, if present, evacuation of pus. The use of spica cast immobilization offers no apparent beneficial effect. Indications for surgery include drainage of pus and removal of sequestered bone. With adequate management the prognosis of suppurative sacroiliitis in pediatric patients is excellent, despite persistent abnormal radiographic findings in most patients.

Clinical Characteristics of Pediatric Patients with Ocular Toxocariasis in China

2016 ◽  
Vol 235 (2) ◽  
pp. 97-105 ◽  
Author(s):  
Yalu Liu ◽  
Qi Zhang ◽  
Jing Li ◽  
Xunda Ji ◽  
Yu Xu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Clinical Characteristics ◽  
Pediatric Patients ◽  
Age Of Onset ◽  
Age Groups ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Enzyme Linked Immunosorbent Assay ◽  
Ocular Toxocariasis

Objective: The aim of the study was to analyze the clinical characteristics of pediatric patients with ocular toxocariasis. Methods: Ocular toxocariasis was diagnosed and treated in 46 children from Shanghai and surrounding provinces. The diagnosis of ocular toxocariasis was confirmed immunologically by performing an enzyme-linked immunosorbent assay on serum and/or intraocular fluid. All pediatric patients and their guardians completed a questionnaire concerning their cases and living habits. Results: The mean age of onset was 6 ± 3 years. Most children (85%) resided in rural areas, and 91% of the children had contact with adult dogs or puppies. At the first visit, visual acuity (VA) was <20/200 in 36 cases, and we detected peripheral granuloma in 36 patients. In our study, the most common signs were vitritis, vitreous strands, and tractional retinal detachment. The Optomap 200Tx device detected granuloma with an 85% sensitivity, which is much higher than that of other techniques. We treated 40 cases (87%) with topical corticosteroids, while 28 patients (61%) were treated with systemic corticosteroids. Only 18 children (39%) required surgical intervention. All patients were examined and treated by the same ophthalmologists. Conclusions: Preschool children in China are more often affected by toxocariasis compared with other age groups. The most common signs included unilateral granuloma and ocular inflammation. In our study, clinical manifestations were severe and complicated. At the first visit, VA was <20/200 in most patients. Ocular toxocariasis was diagnosed on the basis of clinical signs and symptoms; the diagnosis was confirmed by immunological testing. Techniques using the Optomap 200Tx device can facilitate the early detection and lead to better visual prognosis.

scholarly journals Multisystem inflammatory syndrome in children associated with COVID-19: nursing care

2021 ◽  
Vol 11 (2) ◽  
pp. 10-17
Author(s):  
Sofia Panato Ribeiro ◽  
Simone Boettcher
Keyword(s):  
Nursing Care ◽  
Pediatric Patients ◽  
Quality Care ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Signs And Symptoms ◽  
Viral Disease ◽  
Provide Quality Care ◽  
Generalized Lymphadenopathy ◽  
Inflammatory Syndrome

In 2019, a new viral disease, known as SARS-Cov-2 infection, was identified. Scientists believed that it was a disease with low morbidity for pediatric patients; however, a small percentage of children infected with the new coronavirus developed a multisystem inflammatory response, which aroused the interest of many researchers and health professionals. The objective of the study is to describe the main characteristics related to the Pediatric Multisystemic Inflammatory Syndrome Associated with Covid-19 (MIS-C), its complications and nursing care. The main clinical manifestations of MIS-C are hyperthermia, gastrointestinal symptoms, skin manifestations, generalized lymphadenopathy, cardiac and neurological disorders. The main nursing care was listed according to the signs and symptoms, such as monitoring of neurological and hydroelectrolytic changes. The nurse professional must add knowledge about MIS-C so that he is able to qualify his care and improve his skills to provide quality care to pediatric patients.

scholarly journals New coronavirus infection in children in the Moscow region: clinical, epidemiological and treatment aspects

2020 ◽  
Vol 49 ◽  
Author(s):  
E. R. Meskina ◽  
M. K. Khadisova ◽  
T. V. Stashko ◽  
A. V. Bitsueva
Keyword(s):  
Pediatric Patients ◽  
Respiratory Infections ◽  
Severe Disease ◽  
Age Distribution ◽  
Clinical Manifestations ◽  
Treatment Strategies ◽  
Signs And Symptoms ◽  
Generation Cephalosporin ◽  
Moscow Region ◽  
Epidemiological Characteristics

Aim: To assess clinical and epidemiological characteristics, as well as treatment results in COVID-19 pediatric patients hospitalized to the Department of infectious disease in the Moscow region.Materials and methods: We retrospectively analyzed medical records of 124 pediatric patients aged from 1 month to 17 years with confirmed (63.7%) and highly probable (proven epidemiological association with the infection source) COVID-19 infection. The children were hospitalized from March 25, 2020 to August 11, 2020. Among patients that were hospitalized during this time period, 43% had pneumonia and 30% had acute respiratory disorders. All cases of pneumonia were confirmed by computed tomography. The children were treated according to the standard Russian guidelines.Results: The children had been infected with SARS-CoV-2 mostly from family members (75%; 95% confidence interval (CI) 66.4–82.3). In the families of the children with pneumonia, the number of pneumonia cases in their relatives was higher than in the families of the children with acute respiratory infections (1.7±1.0 vs. 1.1±0.5 respectively; р<0.001). The mean age of the hospitalized children was 8 years (7.4–9.6), with an even age distribution. The main COVID-19 signs and symptoms were as follows: fever (75.8%; 95% CI 67.3–83.0), cough (66.1%; 95% CI 57.1–74.4]), fatigues (38.7%; 95% CI 30.1–47.9), and hyposmia (33.9%; 95% CI 25.6–42.9). The severe disease course was rare (2.4%; 95% CI 0.5–6.9). The rates of positive reverse transcriptase polymerase chain reaction tests for SARS-CoV-2 were rapidly decreased at repeated tests: at day 3, 63.7% of the tests were positive, at day 7, 21.8% and at day 14, 5.6% (р<0.001). The prevalence of pneumonia was 56.4% without any age differences, with mostly minimal areas of lung abnormalities (78.6%). The severity of pneumonia and duration of clinical manifestations in the patients treated with a III generation cephalosporin or its combination with a macrolide were similar. Cough duration in those, who were treated with ipratropium bromide /fenoterol inhalations including their combination with budesonide, was higher than in those who did not use inhalation treatment. Pyrexia of>5 days duration can be a predictor of pneumonia in a  pediatric patient with COVID-19 (odds ratio 4.55 (2.1–9.9), sensitivity 61.4%, specificity 74.1%).Conclusion: The results obtained are important to develop further treatment strategies for children with COVID-19.

scholarly journals Anti-Ri-related Possible Autoimmune Encephalitis may Cause Intellectual and Developmental Disabilities in Pediatric Patients: A Case Report

2021 ◽  
Author(s):  
Zhijie Zhang ◽  
Jing Wu ◽  
Danfen Xu ◽  
Shennan Zhao ◽  
Di Lian ◽  
...  
Keyword(s):  
Inflammatory Markers ◽  
Pediatric Patients ◽  
Viral Infections ◽  
Clinical Manifestations ◽  
Autoimmune Encephalitis ◽  
Intellectual And Developmental Disabilities ◽  
Type Ii ◽  
Case Presentation ◽  
Positive Type ◽  
Development Disabilities

Abstract Objective: To describe two rare pediatric cases in which anti-Ri autoantibody-positive (Type II anti-neuronal nuclear antibody; ANNA-2-positive) autoimmune encephalitis occurred with intellectual and development disabilities.. Case presentation: We presented the clinical manifestations, etiological evaluation, and intellectual assessment of two ANNA-2-positive children and the clinical improvement after empirical immunotherapy. A 2-year-old girl with hyperactivity, agitation, and hand tremors and a 6-month-old boy who had dystonia were both diagnosed with intellectual and development disability. Both children tested positive for ANNA-2 and the serological inflammatory markers. Considering possible Ri antibody associated autoimmune encephalitis, empirical immunotherapy was done for both patients, intellectual disability of them improved to some extent. Conclusions: Although ANNA-2 has been mostly reported in adults with paraneoplastic syndrome, we report two ANNA-2-positive pediatric cases diagnosed as possible autoimmune encephalitis due to viral infections. These cases suggested that disruption of the immune system due to viral infection may lead to ANNA-2 positive status and contribute to intellectual and development disability in pediatric cases.

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