scholarly journals Pertussis in a child of the first month of life from family contact

2021 ◽  
Vol 13 (2) ◽  
pp. 149-153
Author(s):  
O. V. Iozefovich ◽  
S. M. Kharit ◽  
E. I. Bobova ◽  
E. A. Budnikova

A case of whooping cough in a moderate form in a child of the first month of life is described in the presented clinical observation. The moderate form was manifested by the duration of the preconvulsive period up to 5 days, the appearance of cyanosis of the face when coughing in the early stages of the disease (1 week), an increase in the number of coughing attacks. The difficulties of treating pertussis in young children are demonstrated by our observation of the course of the disease. There is no vaccination against pertussis in children in the family due to the refusal of parents and children with prolonged coughing were not examined at the outpatient stage. As a result, chemoprophylaxis was not performed on time and the newborn was discharged from the hospital to the center of pertussis infection. The solution to the problem of reducing the incidence in children in the first months of life should be vaccination of pregnant women in the last stages, and vaccination of the environment, including agerelated revaccinations. 

2018 ◽  
Vol 35 (10) ◽  
pp. 639-642 ◽  
Author(s):  
Patrick Nee ◽  
Elaine Weir ◽  
Madhur Vardhan ◽  
Ankita Vaidya

Whooping cough is a notifiable bacterial respiratory infection caused by Bordetella pertussis. It may produce serious disease, especially in immunocompromised individuals and very young children. The number of reported cases increases in the winter months and the incidence peaks every 4–5 years. However, this periodicity is variable and is inconsistent between different geographical regions. Bordetella pertussis infection (BPI) may be underdiagnosed because of its seasonality and the fact that clinical features may be indistinguishable from other respiratory disorders in the paediatric ED setting. Treatment with antibiotics reduces the period of infectivity but may not shorten the illness. This review discusses the epidemiology of the disease, its clinical features, diagnosis, treatment and the disposition of patients with BPI.


Author(s):  
Huifang Zhu ◽  
Hongqun Liao ◽  
Xiaoming Zhong ◽  
Xingyu Rao ◽  
Xin Yang ◽  
...  

AbstractThis study aims to assess whether the cleft nucleus lymphocytosis could be an early promising clue for the diagnosis of pertussis in young infants. Pertussis (whooping cough) is a severe respiratory disease mainly caused by Bordetella pertussis infection and is characterized by a significant rise in the number of leukocyte and lymphocyte in infants and young children. In this study, the Bordetella pertussis DNA was detected from samples of pharyngeal swab by PCR assay. Levels of serum specific IgM against other respiratory pathogens were detected by Enzyme-linked immunosorbent assay (ELISA) assay. The routine blood test including numbers of leukocytes, lymphocytes, and platelets etc. were tested by automatic hemocyte analyzer (Sysemx XN1000). Besides, the morphology of leucocytes was observed in peripheral blood smear with microscope by Wright-Giemsa stain. Three cases of pertussis with cleft nucleus lymphocytes in young infants were discussed in in the neonatal/pediatric intensive care unit in our hospital. Leukocytosis characterized by lymphocytes, as well as thrombocytosis were observed in all patients. Our results demonstrated that cleft nucleus lymphocytosis accompanied with leukocytosis and lymphocytes would be potent assistant indicators for the early diagnosis of pertussis in young children.


2011 ◽  
Vol 26 (S2) ◽  
pp. 363-363
Author(s):  
N. Gonçalves ◽  
S.K. Fuji ◽  
S.N. Cordeiro ◽  
E.R. Turato

IntroductionFrom the viewpoint of society, adolescence can be considered a transition phase into adulthood. For many psychoanalysts, the changes originating from the puberty process are accompanied with an “anguish of growth”. The crisis installed due to this process can be marked by something peculiar in the life of each one.ObjectivesTo discuss the clinical practice, looking towards an understanding of the peculiarities that mark the psychotherapy of an adolescent who lives through a cultural transition.MethodCase report referring to a clinically listening to a 15 years old adolescent who was born and raised in Japan, then moved to Brazil with her family when was 12 years old.ResultsAdaptation to a different culture was what motivated the patient's mother to seek attention for her daughter. The family brings the image of an idealized Japan. The change did not only bring consequences to the daughter, but to the family that went through reorganization in the face of customs and material conditions. The new conditions ended up accentuating conflictive questions by the married couple and the difficulty of organizing the positions of the parents and children in family dynamics, interfering in the process of separation/ individualization of the adolescent. The patient found within a typical Japanese music group an outlet in which she could confront other discussions that stamp her identity.ConclusionsPsychocultural transition has marked this phase in the life of this adolescent. Within a referential group of oriental culture, the patient has found support for these changes.


1993 ◽  
Vol 76 (3) ◽  
pp. 912-914 ◽  
Author(s):  
Stephen Powers ◽  
Ricardo Duran ◽  
Anne Reynolds

Intercorrelations among subtest scores of 39 children on the subtests of the Denver Developmental Screening Test II and their 39 parents' scores on the three subscales of the Family Relationship Dimension of the Family Environment Scale ranged from − .09 to .18. None were statistically significant. Parents and children were in a program for substance abusers and their young children.


2020 ◽  
Vol 92 (11) ◽  
pp. 13-16
Author(s):  
O. P. Popova ◽  
S. V. Smetanina ◽  
N. A. Antipyat ◽  
N. R. Revazyan ◽  
T. A. Skirda

Aim. To study the clinical course, diagnosis of pertussis in pregnant women. Materials and methods. Under observation were 25 pregnant women with whooping cough. The age structure was dominated by patients from 6 to 35 years old, amounting to 64%. At the time of hospitalization in 2 (8%) patients the gestation period corresponded to the first trimester, in 7 (28%) II, in 9 (36%) III. In 7 (28%) patients, the diagnosis of whooping cough was made during childbirth. The following methods were used to verify pertussis: bacteriological, PCR and serological (ELISA). Results and discussion. Clinical analysis showed that pregnant women with pertussis who came to the hospital were admitted to hospital mainly in the late stages of the disease (at 45 week in 68.6% of cases). Pertussis infection in all cases was typical: in moderate form 96%, mild at 4%. In 64% of patients, whooping cough accompanied by other respiratory diseases, which were the main cause of development of bronchitis. The use of ELISA allowed to confirm the clinical diagnosis in 91.7% of patients. Conclusion. The course of whooping cough in pregnant women is characterized by a typical symptom complex. To improve the verification of the diagnosis, it is advisable to use modern laboratory tests (PCR, ELISA).


Author(s):  
Augustine O. Dokpesi ◽  
Omoruyi Osunde

Traditionally in Africa, there is reciprocal dependency between parents and children. While children depend on their parents in meeting their needs at early stage in life, parents on the other hand, rely on their children for care and support later in life. This exchange of roles underscores the characteristic intergenerational reciprocal obligations obtainable in within the family. This paper is an assessment of how prevailing socio-economic conditions in Nigeria have impacted children’s caregiving obligation to parents in the face of government insensitivity on the welfare of the elderly. It advocates a synergy between informal and formal support systems to ensure adequate social and economic support for a meaningful ageng process in Nigeria.


2020 ◽  
pp. 164-200
Author(s):  
Arnold Michael

This chapter examines the various ways digital media technologies and devices are embedded and embodied in the everyday activities of parents and children working, playing, educating, socializing, and entertaining in the home. Through this century, we have visited many families and have talked with them about their experiences and their parenting strategies in the face of new technologies. In this chapter, we identify the major strategies and stances and contextualize their nuances and subtleties vis-à-vis the particulars of the family relationships. We also place our findings in the context of the literature on families and technology use, relating the particularities of the vignettes to observations derived from quantitative and larger-scale studies.


Author(s):  
Muhammad Thariq

This study intends to know "How can interpersonal communication build family resilience in the face of increasingly tough challenges"? To reveal the reality of the authors use qualitative methods. To get the data, the author uses three techniques of data collection that is observation, in-depth interview and documentation study. The results of this study found that interpersonal communication plays an important role in shaping family resilience and strengthen the functioning of families facing increasingly severe challenges. Interpersonal communication between parent and child through the giving of statements such as "Know your family and remember who you are", "we live not alone" and "remember neighbors, remember family" can form self concept or character of child and family in society as do parents to the children / family in Neighborhood 1 Pasar 6 Kelurahan Tanjungsari Kecamatan Medan Selayang, Medan City, North Sumatera Province. There are positive family relationships and actions built on the basis of conversation, conformity, dependency and distribution of powers derived from parents and children as in families in Neighborhood I Pasar 6 Tanjungsari Village, Kec. Medan Selayang, so as to build a warm and supportive relationship that is characterized by mutual respect and care for each other. With the capital of interpersonal communication, the family can function in building relationships between families and social relations in the form of arisan aged 20 years more. Finally, the family communication (old family) upholds family secrets and restrictions on taboo matters.


2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.


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