scholarly journals Retropharyngeal and longus capitis intramuscular abscesses in a four year old presenting as torticollis

2016 ◽  
Vol 15 (4) ◽  
pp. 645-647
Author(s):  
Boon Chye Gan ◽  
Jamal Sazly ◽  
Haslinda Md Taha
Keyword(s):  
Medical Science ◽  
Retropharyngeal Abscess ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Stable Patient ◽  
Space Infection ◽  
Pediatric Age Group ◽  
Contrast Enhanced ◽  
History Of ◽  
Upper Respiratory

Retropharyngeal abscess (RPA) is defined as a potentially serious deep neck space infection, commonly seen in children and usually associated with prior upper respiratory tract infection (URTI), history of trauma or foreign body ingestion. We report a rare case of RPA and longus capitis intramuscular abscesses in a 4 year old, who presented with chief complaint of torticollis but with normal oropharyngeal findings. RPA, longus capitis inflammation may be common but abscess in the longus capitis muscle is rare. The aim of this case report is to highlight that subclinical RPA in pediatric age group may present with only acquired torticollis and without sore throat nor high fever. Diagnosis and evaluation of extension was made with contrast enhanced computer tomography (CECT) of the neck. In stable patient with non-extensive abscess and low risk of developing complications, medical management is always the preferred choice.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.645-647

scholarly journals Outbreak of 2009 pandemic influenza A(H1N1) in a Finnish garrison - a serological survey

2010 ◽  
Vol 15 (45) ◽  
Author(s):  
M Aho ◽  
O Lyytikaïnen ◽  
J E Nyholm ◽  
T Kuitunen ◽  
E Rönkkö ◽  
...  
Keyword(s):  
Pandemic Influenza ◽  
Military Service ◽  
Influenza A ◽  
Major Part ◽  
H1n1 Virus ◽  
Upper Respiratory Tract ◽  
Serological Survey ◽  
Influenza A H1n1 ◽  
History Of ◽  
Upper Respiratory

In September 2009, an outbreak of 2009 pandemic influenza A(H1N1) took place in a Finnish garrison. In November 2009, we performed a serological survey among 984 recruits undergoing their military service at the garrison and related the results to self-reported upper respiratory tract infection (URTI) with or without fever. Of 346 volunteers who donated a blood sample, 169 (49%) had pandemic influenza A(H1N1) virus-specific antibodies. Of those, 84 (50%) reported no recent history of URTI, suggesting that a major part of those infected with pandemic influenza A(H1N1) virus may be asymptomatic.

scholarly journals Incidence of steroid modified tinea in pediatric age group at tertiary centre in North India

2021 ◽  
Vol 7 (5) ◽  
pp. 677
Author(s):  
Savita Chaudhary ◽  
Chandni Jain ◽  
Gaurav Paliwal ◽  
Priyanka Shukla
Keyword(s):  
Common Species ◽  
North India ◽  
Topical Steroids ◽  
Age Group ◽  
Pediatric Age ◽  
Atypical Form ◽  
Pediatric Age Group ◽  
Tertiary Centre ◽  
History Of ◽  
Common Variety

<p class="abstract"><strong>Background:</strong> Uncontrolled use and abuse of topical steroids has led to increase in number of cases of superficial dermatophytosis of skin, hair and nail in pediatric age group as well. Our study aimed to analyse epidemiological and microbiological profile of steroid modified tinea (SMT) in pediatric age group.</p><p class="abstract"><strong>Methods:</strong> Clinically diagnosed tinea childhood patients with history of usage of topical steroids in children were included in our study. Detailed history was taken and clinical examination along with KOH mount and culture was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> 112 patients were clinically diagnosed as tinea out of which 61cases gave the history of topical steroids and were included in our study. Most common age group was 12-18 years with female:male of ratio approximately 3:1 and disseminated and atypical form was the most common variety. KOH mount was positive in 73.2% cases and culture was positive in 69.6% cases. Most common species found out to be <em>Tinea mentagrophytes</em> followed by <em>Tinea rubrum</em>. Among non-dermatophyte group, <em>Candida</em> was the commonest.</p><p class="abstract"><strong>Conclusions:</strong> There is rise in incidence of dermatophytosis, especially steroid modified, atypical and disseminated.</p>

An unusual case of dysphagia

2018 ◽  
Vol 17 (3) ◽  
pp. 154-155
Author(s):  
Adam Williamson ◽  
◽  
Christopher Kelly ◽  
Keyword(s):  
Unusual Case ◽  
Previous History ◽  
Upper Respiratory Tract ◽  
Medical Unit ◽  
Solid Foods ◽  
Acute Medical Unit ◽  
History Of ◽  
Upper Respiratory ◽  
Ventriculo Peritoneal Shunt

A 51-year-old lady, with a background of an arachnoid cyst and ventriculo-peritoneal shunt in situ, presented to the Acute Medical Unit with a 2-day history of neck pain. She awoke from sleep with the pain and it persisted since. She had not been involved in any trauma, had no previous history of neck or back pain and her pain was not controlled with simple analgesia. She also complained of new odynophagia and high dysphagia, particularly to solid foods. There was no history of upper respiratory tract infection.

scholarly journals The snoring 2-year-old boy: a case of primary nasopharyngeal Burkitt’s lymphoma

2020 ◽  
Vol 13 (1) ◽  
pp. e233536
Author(s):  
Gerd Xuereb ◽  
Justine Borg ◽  
Kurt Apap ◽  
Charles Borg
Keyword(s):  
Respiratory Tract Infections ◽  
Cervical Lymphadenopathy ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma ◽  
Upper Respiratory Tract ◽  
Lymph Node Enlargement ◽  
History Of ◽  
Upper Respiratory ◽  
Tract Infections ◽  
Nose And Throat

Sporadic Burkitt’s lymphoma affecting the nasopharyngeal region is an extremely rare disease, especially in infants. We describe the case of a 2-year-old boy who presented to the ear, nose and throat department with a history of snoring, blood-stained rhinorrhoea and symptoms consistent with upper respiratory tract infections. Physical examination revealed massive cervical lymphadenopathy. MRI of the head and neck showed a mass lesion in the nasopharynx with bilateral lymph node enlargement. Debulking of the mass was performed and biopsies were sent for histology, which confirmed Burkitt’s lymphoma. The patient was treated with complex chemotherapy and had a good clinical response. The patient remains in remission after 6 years.

Breath Alcohol Analysis and the Blood: Breath Ratio

1975 ◽  
Vol 15 (3) ◽  
pp. 205-210 ◽  
Author(s):  
B. M. Wright ◽  
T. P. Jones ◽  
A. W. Jones
Keyword(s):  
Liquid Chromatography ◽  
Blood Analysis ◽  
Gas Liquid Chromatography ◽  
Upper Respiratory Tract ◽  
Breath Sampling ◽  
Breath Alcohol ◽  
History Of ◽  
Upper Respiratory ◽  
Sampling Procedures

The history of breath alcohol analysis and of the concept of a blood: breath ratio is briefly reviewed and it is suggested that the ratio is always lower and more variable than predicted by accepted theory. Using gas liquid chromatography for both breath and blood it has been shown that the blood: breath ratio falls during expiration and only reaches its presently accepted value of 2100: 1, predicted from in vitro studies, after prolonged rebreathing. It is suggested that this is due to alcohol being absorbed from the breath during expiration by the mucosa of the upper respiratory tract, to replace that lost during inspiration. Proposals are made for further studies and for modifications in present breath sampling procedures which could make breath analysis an acceptable substitute for blood analysis in all except marginal cases.

A Prospective Evaluation of Pediatric Patients With Syncope

1994 ◽  
Vol 33 (2) ◽  
pp. 66-70 ◽  
Author(s):  
Tally Lerman-Sagie ◽  
Pinchas Lerman ◽  
Masza Mukamel ◽  
Leonard Blieden ◽  
Marc Mimouni
Keyword(s):  
Pediatric Patients ◽  
Tilt Test ◽  
Breath Holding ◽  
Age Group ◽  
Single Episode ◽  
Pediatric Age Group ◽  
History Of ◽  
Head Up Tilt ◽  
Head Up Tilt Test ◽  
Multiple Episodes

Fifty-eight children with syncope were evaluated prospectively to determine the characteristics of syncope in the pediatric age group and the yield of various diagnostic tests. The age at first syncope ranged from 0.5 to 15 years. Twenty-five children presented after a single episode and 33 after multiple episodes. Ten had a history of breath-holding spells. Nineteen had a family history of syncope. A diagnosis was established in 53 patients (91%): vasodepressor (31), cardioinhibitory (13), tussive (3), hyperventilation (2), and mixed syncope (4). In five patients (9%), the cause remained unknown. The diagnosis was established from the history in 45 cases, by a positive oculocardiac reflex in 11, and by the head-up tilt test in four. We conclude that the cause of most cases of pediatric syncope is vasodepressor or cardioinhibitory and can be diagnosed by good history-taking. Costly evaluations are rarely necessary.

Sinus Barotrauma in Divers

1976 ◽  
Vol 85 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Paul Fagan ◽  
Bart McKenzie ◽  
Carl Edmonds
Keyword(s):  
Respiratory Tract ◽  
Occupational Disease ◽  
Upper Respiratory Tract ◽  
Fluid Level ◽  
X Ray ◽  
Sinus Barotrauma ◽  
History Of ◽  
Upper Respiratory ◽  
Mucosal Thickening ◽  
Maxillary Sinuses

Sinus barotrauma is a common occupational disease of divers, with the incidence of descent barotrauma approximately double that of ascent. Pain chronologically associated with the change of pressure is the most dominant symptom and is seen in 92% of the cases presented for treatment. The majority complain of a frontal distribution of pain, with ethmoidal and maxillary being much less significant. Epistaxis is the second commonest symptom, and may be the sole symptom in some ascent cases. A history of recent or past sinus barotrauma or upper respiratory tract pathology is very common. Clinical examination supports the evidence of upper respiratory tract pathology in many cases. The radiological signs of abnormality were present in over three quarters of the cases examined. Of these the maxillary sinus was affected in most cases, the frontal in approximately one quarter and the ethmoidal in less than a fifth. The pathology was more commonly that of mucosal thickening, but in 12% of cases there was a fluid level. It is noted that although symptoms were predominantly frontal, x-ray changes were most often present in the maxillary sinuses.

scholarly journals Staphylococcus aureusin the infant upper respiratory tract: I. Observations on hospital-born babies

1957 ◽  
Vol 55 (3) ◽  
pp. 299-312 ◽  
Author(s):  
Valerie Hurst
Keyword(s):  
Respiratory Tract ◽  
Normal Component ◽  
First Year ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Throat Culture ◽  
Antibiotic Resistant ◽  
Resistant Strains ◽  
Upper Respiratory ◽  
Epidemiological Significance

Pernasal and throat swabs taken on 106 newborn babies showed that 99% harboured coagulase-positiveStaph. aureusby the time they left the hospital nursery. When the strains isolated from thirty-four of them were phage typed and tested for penicillin sensitivity, it was found that thirty-three (97%) carried at least one penicillin-resistant strain. Phage typing of their subsequent cultures, taken as they became older, demonstrated that they retained these strains for very long periods. Of the twenty-one still under observation at 6 months of age, eleven (53%) were carrying one or more of their original hospital strains, and an additional three (14%) still were consistently yielding an untypable strain believed to be identical to that acquired in hospital. Similarly, of those remaining under observation for the last 6 months of their first year, at least 50% continued to carry their hospital strains.These babies frequently retained the hospital strains in their throats longer than in their noses. Although their nasal cultures often became negative after the first few months of life, the original hospital strains continued to be recovered from the throats. This would indicate that the throat culture is more accurate than the nasal culture in determining staphylococcal carriers among this age group. Antibiotic-resistant staphylococci in the infant throat may have considerable epidemiological significance, since babies tend to widely distribute their saliva.The observations suggest that the staphylococci acquired at birth become a normal component of the upper respiratory flora, and may thus prevent new strains of staphylococci from becoming established later. This may explain why newborn babies retain the antibiotic-resistant staphylococci of the hospital much longer than do adult patients. Antibiotic-resistant strains among the general non-hospital population will be increased steadily by babies born in hospitals.

scholarly journals Novel BTK mutation in X-linked agammaglobulinemia: Report of a 17-year-old male

2021 ◽  
Vol 49 (2) ◽  
pp. 80-83
Author(s):  
Zoha Shaka ◽  
Helia Mojtabavi ◽  
Elham Rayzan ◽  
Samaneh Zoghi ◽  
Sepideh Shahkarami ◽  
...  
Keyword(s):  
Bacterial Infections ◽  
Respiratory Tract Infections ◽  
Gene Mutations ◽  
Upper Respiratory Tract ◽  
Rare Mutations ◽  
Whole Exome ◽  
History Of ◽  
Upper Respiratory ◽  
Tract Infections ◽  
Increased Susceptibility

Introduction and objectives: X-linked agammaglobulinemia (XLA), the first known primary immunodeficiency, is caused by rare mutations in Bruton’s tyrosine kinase (BTK) gene. Mutations in the BTK gene lead to a failure in the development and maturation of B-cell linage. A decreased number of B-cells results in agammaglobulinemia and increased susceptibility to a variety of infections. Therefore, patients with XLA usually manifest with repetitive bacterial infections, such as upper respiratory tract infections, septic arthritis, osteomyelitis, and urinary tract infections, since their infancy. Patients: We report a 17-year-old Iranian boy with XLA, referred to us with a history of severe and recurrent episodes of bacterial infections for a period of six years. Results: Genetic analysis using the whole Exome sequencing revealed a hemizygous missense mutation in the BTK gene (c.428 A > T, p.His143Leu). Conclusion: To our knowledge, c.428 A > T has not been reported in the BTK gene.

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