Oculoglandular Tularemia in an Inner City Child

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 564-566
Author(s):  
Marshall E. Bloom ◽  
William T. Shearer ◽  
Leslie L. Barton ◽  
Edward Mallinckrodt

Since the 1968 Vermont epidemic of tularemia, human disease has been reported in all of the 50 states.1 This brief report draws attention to tularemia as a contemporary pediatric problem, highlights the recent advances in diagnosis,2,3 and points out that it may occur in city as well as in country children. Case Report A 6-year-old boy (SLCH-88133) from the city of St. Louis was admitted to St. Louis Children's Hospital on January 12, 1972, because of preauricular and cervical lymphadenopathy. Two months prior to admission he developed epiphora, erythema, and edema of his right eye. Within two days, lethargy, fever (104 F) and painful swelling of the entire right side of his face and neck were noted.

Author(s):  
Hailey Martin ◽  
Peter Akpunonu

Background: A Gar is a primarily freshwater fish that resides in North America. The flesh of a garfish is edible; however, the eggs and any meat surrounding the eggs are highly toxic to humans. The toxicity is induced by the protein ichthyotoxin. Case Report: The studied patient was an 18-year-old male who ingested 2-3 spoons full of gar eggs in their residence place. Each spoon full contained 40-50 eggs. The estimated total amount of consumed eggs equaled 3 teaspoons. Approximately one hour after eating the eggs, the patient began to feel unwell. Upon arrival at the local Children’s Hospital, the patient was experiencing nausea, vomiting, diarrhea, and sweating. Conclusion: Patients affected by gar eggs should be treated symptomatically, given there is no antidote or specific treatment for ichthyotoxin. Further research is required on the mechanism that makes ichthyotoxin toxic. Luckily, the presented patient presented no seizures due to the toxin and the care providers could manage the related symptoms.


PEDIATRICS ◽  
1975 ◽  
Vol 55 (4) ◽  
pp. 536-538
Author(s):  
William P. McCann ◽  
Robert Permisohn ◽  
P. A. Palmisano

Chloroquine overdose is commonly fatal in children.1 We report here such a case in which peritoneal dialysis was tried. Analyses of tissues, serum, urine, and dialysate for chloroquine confirmed the diagnosis and indicated that little of this drug was removed from the body by dialysis. CASE REPORT A healthy 28-month-old black boy weighing 17.17 kg was seen holding two 500-mg chloroquine diphosphate (Aralen) tablets from a relative's purse about 3:30 PM one afternoon. One-half hour later he was found unconscious and was brought to the Children's Hospital, arriving at 5 PM apneic and with fixed, dilated pupils. It was stated that breathing stopped just before arrival.


2021 ◽  
Vol 20 (1) ◽  
pp. 168-169
Author(s):  
M. Khalili ◽  
M. Gholamzadeh Baeis ◽  
M. Alaei

A 10-year-old boy known case of Gaucher disease about 2 years ago was admitted with nausea, vomiting and epigastric pain from 3 days before hospitalization to Mofid Children’s hospital, Tehran, Iran. On the initial examination, no abnormalities were found except for splenomegaly and brief tenderness on the spleen. In secondary paraclinical evaluations (with Ultrasound and Ct-scan), we noticed mesenteric lymphadenopathy in the patient. The lesions remained unchanged and no significant changes were observed in the clinical and laboratory evaluations of the patient during one-year follow-up period. This is a rare and benign manifestation of Gaucher disease, which is usually monitored and does not require any intervention without signs of malignancy or severe space occupying effects 


PEDIATRICS ◽  
1973 ◽  
Vol 52 (3) ◽  
pp. 437-438
Author(s):  
Leslie L. Barton ◽  
Larry K. Pickering

The diagnosis of shigellosis is only rarely considered in the infant whose diarrhea commences during the first week of life. Haltalin1 reported six cases and reviewed seven others that had appeared in the literature up until 1967. Three other cases have been reported.2-4 We would like to describe an additional infant with onset of diarrhea due to Shigella flexneri infection on her second day of life. Case Report Patient C.E. (SLCH #72-6528) was admitted to St. Louis Children's Hospital at 36 hours of age with fever and bloody diarrhea. The mother had a third trimester urinary tract infection treated with parenteral ampicillin. No diarrhea was noted during her pregnancy.


PEDIATRICS ◽  
1965 ◽  
Vol 35 (2) ◽  
pp. 342-344
Author(s):  
KENNETH G. JAMIESON

An intranasal glioma presenting at birth as a readily visible polyp without any evidence of nasal deformity is an uncommon lesion. The purpose of this report is to record one such case in which the site of attachment of the glioma to the brain was studied at operation. Case Report On the day after his birth, August 26, 1958, a boy (A.R.) was referred to the Brisbane Children's Hospital with a provisional diagnosis of nasal encephalocoele. A reddish fleshy lump was to be seen just within the left nostril. There was no other evidence of nasal abnormality, and, in particular, the nasal bridge was normal.


Author(s):  
N. S. Koltsova ◽  
D. V. Pechkurov ◽  
G. A. Makovetskaya ◽  
L. I. Zakharova ◽  
G. Yu. Poretskova

Data on the history of children’s health in the Samara region and the establishment of the Pediatric Faculty of the Samara State Medical University are presented. The initiator of the creation of the Pediatric Faculty in 1970 was prof. A.I. Miloserdova, who was in charge of the Department of Children’s diseases from 1957 to 1981. She both actively used the clinics of the regional children’s hospital as a base for the training pediatricians and made a great contribution to the development of the pediatric service of the Samara region. For many years her leadership of the Department of Children’s Diseases contributed to the formation of unforgettable principles of the activity not only of the Department but also of the regional children’s hospital: love for pediatrics, academicism, benevolence, decency, aspiration for new knowledge. A.I. Miloserdova prepared a whole galaxy of brilliant students, who both head the Departments of the Pediatric Faculty and implement new technologies for teaching, diagnosis, and treatment in all branches of the pediatric service of the city and the region.


1993 ◽  
Vol 69 (2) ◽  
pp. 229-231 ◽  
Author(s):  
H M Goodyear ◽  
J C Moore-Gillon ◽  
E H Price ◽  
V F Larcher ◽  
M O Savage ◽  
...  

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