scholarly journals Eczema herpeticum in a child in the first year of life: a clinical case report

2020 ◽  
Vol 101 (3) ◽  
pp. 426-430
Author(s):  
H M Vahitov ◽  
A G Makhmutova ◽  
L M Ziyatdinova ◽  
M S Pospelov

This article describes up-to-date information about aetiology and pathogenesis of course of herpetic eczema. The authors highlighted new approaches to diagnosis and therapy of Kaposi varicelliform eruption in children of early age. It was described the results of own observations of the child in the first year of life with Kaposi varicelliform eruption and experience of application-sorption therapy in the treatment of this disease. The high efficiency of application-sorption therapy in skin lesions caused by combination of infection and allergy in children was noted. The clinical case examined allowed to assess the full complexity of differential diagnostic approaches in verification of eczema herpeticum. For a wide range of paediatricians and surgeons, algorithms for diagnosis and therapeutic tactics were described in the case of Kaposi varicelliform eruption.

2017 ◽  
Vol 35 (4) ◽  
pp. 192-195 ◽  
Author(s):  
Jesmin Sultana ◽  
Sabina Yasmeen ◽  
Nure Ishrat Nazme ◽  
Mir Hasan Md Moslem ◽  
Zaberul SM Haque ◽  
...  

We report a case of Subcutaneous Fat Necrosis (SCFN) of a newborn which is an uncommon disorder, occurs during the first year of life, and has been attributed to perinatal stress. SCFN usually has a favorable prognosis, with complete autoresolution of subcutaneous lesions within several weeks or months, but it may also be complicated by serious metabolic alterations such as hypercalcemia.J Bangladesh Coll Phys Surg 2017; 35(4): 192-195


2020 ◽  
Vol 16 (3) ◽  
pp. 320-324
Author(s):  
Lesya Besh ◽  
◽  
Oksana Matsyura ◽  
Olesya Besh ◽  
Olga Troyanovska ◽  
...  

Eczema herpeticum is a chronic dermatosis with erosive and ulcerative lesions of the skin in children of a predominantly young age. The clinical case presented in this article shows the severe course of herpesvirus infection combined with atopic dermatitis in a 5-month infant. A rash in the form of vesicles and pustules throughout the body with a predominant localisation on the skin of the face, the scalp, neck, and chest was found in the course of the examination of the child. Influence of infections on the course of allergic processes is an ambiguous and complicated issue. It has been proved that an infection can contribute to the development of allergies and exacerbate the course of already existing allergic inflammation. In recent years, an increasing number of studies have shown the preventive effect of infection on the development of allergic pathology in children, especially during the first years of life.


Author(s):  
O. K. Kirilochev

The article presents research methods to detect the frequency of diagnostic errors.Objective: to compare clinical and pathological diagnoses in order to determine the frequency, causes and ways of avoiding diagnostic errors in children with infectious pathology specific to the perinatal period. The authors studied 234 death cases in the intensive care unit for newborns in 2006–2018, and they found diagnostic errors in 18,3% of cases. 53,4% of the diagnostic errors were associated with unrecognized infectious diseases specific to the perinatal period. The authors found that the correct intravital diagnosis was impossible for objective reasons in 65% of cases. Those objective reasons were mainly caused by diagnostic difficulties due to the lack of characteristic clinical data or the atypical course. Almost in every third patient the diagnostic errors were caused by subjective reasons and were associated with the diagnosis of congenital cytomegalovirus infection and neonatal sepsis. The subjective errors were often caused by the so-called doctor’s bona fide delusion due to a lack of knowledge, skills, experience. As the judgment error was the most common reason for misdiagnosis we need to improve the clinicians’ cognitive condition. Based on the audit results, the authors proposed the additional diagnostic approaches for certain diseases. One way to reduce errors is to improve educational initiatives for doctors.


2021 ◽  
Author(s):  
Asma A A Zahidi ◽  
Lee McIlreavy ◽  
Jonathan T Erichsen ◽  
J Margaret Woodhouse

Background/Aims: Children with Down's syndrome (DS) are known to have poorer visual acuity that neurotypical children. One report has shown that children with DS and nystagmus also have poor acuity when compared to typical children with nystagmus. What has not been established, is the extent of any acuity deficit due to nystagmus and whether nystagmus impacts on refractive error is within a population with DS. Methods: Clinical records from The Cardiff University Down's Syndrome Vision Research Unit were examined retrospectively. Binocular visual acuity and refraction data were available for 50 children who had DS and nystagmus (DSN) and 176 children who had DS but no nystagmus. Data were compared between the two groups, and with published data for neurotypical children with nystagmus. Results: The study confirms the deficit in acuity in DS, compared to neurotypical children, of approximately 0.2 LogMAR and shows a further deficit attributable to nystagmus of a further 0.2 logMAR beyond the first year of life. Children with DS and no nystagmus appear to have acuity that mirrors that of typical children with nystagmus, while children with both DS and nystagmus have a significant additional impairment. Children with DS have a wide range of refractive errors, but nystagmus increases the likelihood of myopia. Prevalence and axis direction of astigmatism, on the other hand appears unaffected by nystagmus. Conclusion: Nystagmus confers an additional visual impairment on children with Down's syndrome and must be recognised as such by families and educators. Children with both DS and nystagmus clearly need targeted support.


2021 ◽  
Vol 9 ◽  
Author(s):  
Lu Zhao ◽  
Lin Wu ◽  
Qu-ming Zhao ◽  
Xue-cun Liang

Left posterior fascicular ventricular tachycardia (LPFVT) is extremely rare in neonates. We described a 17-day-old girl with LPFVT who was initially misdiagnosed as supraventricular tachycardia (SVT). Eventually, she was successfully treated by amiodarone infusion followed by oral amiodarone with propranolol for 9 months, and LPFVT spontaneously resolved after a 1-year follow-up. This case report illustrated the basic principles and caveats in differential diagnosis of LPFVT in the neonatal age group. With proper diagnosis and therapy, neonatal LPFVT might regress in the first year of life.


2020 ◽  
Vol 7 (3) ◽  
pp. 125-131
Author(s):  
L. A. Smirnova ◽  
D. Yu. Kachanov ◽  
A. P. Shcherbakov ◽  
D. G. Akhaladze ◽  
M. V. Teleshova ◽  
...  

The most common extracranial solid malignant tumor of childhood – neuroblastoma (NB) is characterized by the presence of two metastatic forms (stages 4 and 4S). Stage 4S is described to have metastatic spread to the liver, skin, and minimal bone marrow invasion. Certain rare localisations of NB metastases (pleura, testicles, and others) may not worsen the prognosis in children of the first year of life in the absence of severe bone marrow invasion and metastases to the skeletal bones. The article describes a clinical case of retroperitoneal NB with atypical metastasis to the pleura in a child of the first months of life with a favorable outcome with a minimum amount of chemotherapy.


2004 ◽  
Vol 76 (2) ◽  
pp. 231-236 ◽  
Author(s):  
Simone Masin ◽  
Renato Massa ◽  
Luciana Bottoni

Subsongs are vocal trials uttered by young birds to practice songs. Among songbirds, subsongs are displayed by individuals in their first year of life. Studies on Zebra Finches Poephila guttata suggest that the juveniles learn their songs from a vocal tutor, their father. In this study we examine the subsongs in six captive-born Meyer's Parrots Poicephalus meyeri, from fledging time to weaning. Recordings of songs from chicks and fathers were analyzed for similarities in frequency and time parameters. With age, the subsongs of the chicks became more similar to the vocalizations of the fathers with 20% similarity rating in the first week after fledging to 100% at weaning time. Moreover, fledged chicks were exposed to a wide range of stimuli from several species of parrots breeding pairs caged nearby but chicks exclusively learned their fathers' songs. Our data support the hypothesis that Meyer's Parrots are vocal learners and use their father as their tutor.


2015 ◽  
Vol 68 (7-8) ◽  
pp. 267-272 ◽  
Author(s):  
Spela Golubovic ◽  
Jasminka Markovic ◽  
Lidija Perovic

Introduction. Early intervention implies a model of support focused on a child, family and a broader community from early childhood. The aim of this study was to analyze the elements of the successful early intervention in childhood, as well as to assess the role of a special educator and rehabilitator and level of their involvement in implementing the program on the territory of Novi Sad. Material and Methods. The study sample included 100 parents of children with disabilities (aged 3-7), who completed the questionnaire designed for the purposes of this research, based on a similar questionnaire design. Results. Speech delay is one of the most common reasons (over 50%) why parents seek professional help. By the end of the first year of life of their child, 43% of parents responded that they had noticed the first problems, that is, a problem was identified in 25% of children of this age group, and the same number was included in the treatment. About 55% of children were involved in organized treatment from 3 years of age onwards. Special educators and rehabilitators are usually involved in treatment when the team consists of three or more professionals. Conclusions. It is necessary to improve early intervention services, to educate staff, and provide conditions which would make it possible to overcome the existing disadvantages in treating children from an early age. In addition, the involvement of special education and rehabilitation professionals in treatment teams since children?s early age is vital.


2021 ◽  
pp. 004947552098638
Author(s):  
Melis Deniz ◽  
Anıl Tapısız ◽  
Hasan Tezer ◽  
Tugba Bedir Demirdag

We report a case of neuro-ophthalmological complications of congenital toxoplasmosis, a parasitic infection caused by Toxoplasma gondi. Its congenital form occurs either as a primary infection or as reactivation of the same due to immunosuppression during pregnancy. With an incidence rate of 1.5/1000 live births, this disease is an important cause of visual loss from chorio-retinal lesions in >82%. Recent studies have shown that treatment given in utero and in the first year of life can reduce ophthalmological complications.


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