Physical Development and Medical History of Children Who Were Treated Antenatally With Corticosteroids to Prevent Respiratory Distress Syndrome: A 10- to 12-Year Follow-up

PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 65-70 ◽  
Author(s):  
H. Smolders-de Haas ◽  
J. Neuvel ◽  
B. Schmand ◽  
p. E. Treffers ◽  
J. G. Koppe ◽  
...  

Potential side effects of antenatal administration of corticosteroids to prevent neonatal respiratory distress syndrome were studied in 10- to 12-year-old children whose mothers had participated in a randomized, double-blind, placebo-controlled trial of betamethasone. The children had a general physical examination; parents were interviewed about the medical history of their child with special attention to infectious diseases; growth data were collected; and a developmental neurological examination, an ophthalmological examination, and a lung function test were conducted. In the corticosteroid group significantly more hospital admissions because of infectious diseases during the first years of life were reported. On the other variables no differences between the corticoid and the placebo groups were found.

PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 58-64
Author(s):  
B. Schmand ◽  
J. Neuvel ◽  
H. Smolders-de Haas ◽  
J. Hoeks ◽  
P. E. Treffers ◽  
...  

Potential side effects of antenatal administration of corticosteroids to prevent neonatal respiratory distress syndrome were studied in 10- to 12-year-old children whose mothers had participated in a randomized, double-blind, placebo-controlled trial of betamethasone. Aspects of the children's intellectual and motor development, school achievement, and social-emotional functioning were investigated. There were no differences between the corticoid group and the placebo group on these variables, nor were there more children with learning difficulties and behavioral disturbances in either of the groups.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 850-854 ◽  
Author(s):  
H. William Taeusch ◽  
Nai San Wang ◽  
Melvin Baden ◽  
Charles R. Bauer ◽  
Leo Stern

The pathological findings from seven infants who died with respiratory distress syndrome and had been treated with placebo are compared with seven infants with comparable disease treated with hydrocortisone. Differences in lung, liver, adrenal, thymus, heart and spleen pathology attributable to steroid treatment did not occur between the two groups. A statistically significant association was found between intraventricular hemorrhage and steroid treatment. The pathological findings are consistent with the clinical results in that no beneficial effect occurs when steroids are used after an infant manifests respiratory distress. The possibility that elevated steroid levels increase the likelihood of intraventricular hemorrhage in association with respiratory distress syndrome is raised by these observations, although further information is needed to establish such a relationship.


2017 ◽  
Vol 22 (1) ◽  
pp. 36-41
Author(s):  
M. A Nikulina ◽  
V. M Granitov ◽  
S. F Tanashkin ◽  
E. V Volchkova ◽  
E. A Nemilostiva

Leptospirosis can be up to 20-40% of infectious diseases such as malaria, dengue fever and many others occurring in tropical regions. There is presented the description of the clinical case of leptospirosis in a patient arrived from Vietnam. The severity of the patient's disease is associated with an increase in respiratory symptoms and disease caused by the development of adult respiratory distress syndrome, which can occur not less than in 19.0% of patients, mostly in men and lead to the death in 14.2% of patients. Thus, after arrival from tropical countries patients with fever, signs of organ (respiratory, renal, hepatic, etc.) failure are to be tested for leptospirosis.


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