scholarly journals A 2 Years Child Bronchopneumonia with Down Syndrome

2021 ◽  
pp. 174-177
Author(s):  
Seema Yelne ◽  
Mayur Wanjari ◽  
Hina Rodge ◽  
Sagar Alwadkar ◽  
Pratibha Wankhede ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Nursing Care ◽  
Respiratory Infections ◽  
Pediatric Intensive Care ◽  
Nursing Management ◽  
Patient Response ◽  
Case Presentation ◽  
Complicated Case ◽  
Children With Down Syndrome ◽  
History Of

Introduction: Pneumonia and respiratory infections impact infants and children with Down syndrome; pneumonia is a leading cause of mortality in adults with Down syndrome. Case Presentation: A 2 years old child came to AVBRH hospital with a history of fever, cough and cold for 6 days. The patient was admitted to the pediatric ward for management. Suddenly patient started to breathlessness, increase in serum creatinine and acidotic breathing. The patient shifted to the pediatric intensive care unit. Intervention: The treatment of patients was started immediately after admission. The patient's condition was dull after the examination and patient condition inspection doctors decide to intubate the patient for further management and recovery of the patient. Conclusion: In this report, we mainly focus on expert medical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.

scholarly journals Abdominal Aortic Aneurysm- A Case Report

2021 ◽  
pp. 265-269
Author(s):  
Mayur B. Wanjari ◽  
Deeplata Mendhe ◽  
Pratibha Wankhede
Keyword(s):  
Nursing Care ◽  
Surgical Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Nursing Management ◽  
Patient Response ◽  
Case Presentation ◽  
Complicated Case ◽  
Abdominal Aortic ◽  
Elective Repair

Introduction: Abdominal aortic aneurysms more commonly affect men than women and are estimated to affect 4% to 8% of men older than age 60 years. Mortality because of a ruptured AAA is high, but elective repair is an effective and relatively safe intervention. Case Presentation: A 69-year-old male patient comes to the outpatient department with a complaint of abdominal pain from 2-3 months back. Interventions- The treatment of patients was started immediately after admission. The surgical repair of Aortic Stent Placement for Pseudoaneurysm was done under general anesthesia on date 12 June 2021. Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.

Demographic and Clinical Characteristics Associated With Adherence to Guideline-Based Polysomnography in Children With Down Syndrome

2020 ◽  
pp. 019459982095483
Author(s):  
Philip D. Knollman ◽  
Christine H. Heubi ◽  
Susan Wiley ◽  
David F. Smith ◽  
Sally R. Shott ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Down Syndrome ◽  
Clinical Characteristics ◽  
Medical Center ◽  
Demographic Data ◽  
Children With Down Syndrome ◽  
Medical Need ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
History Of

Objectives To compare the demographic and clinical characteristics of children with Down syndrome who did and did not receive polysomnography to evaluate for obstructive sleep apnea after publication of the American Academy of Pediatrics’ guidelines recommending universal screening by age 4 years. Study Design Retrospective cohort study. Setting Single tertiary pediatric hospital. Methods Review was conducted of children with Down syndrome born between 2007 and 2012. Children who obtained polysomnography were compared with children who did not, regarding demographic data, socioeconomic status, and comorbidities. Results We included 460 children with Down syndrome; 273 (59.3%) received at least 1 polysomnogram, with a median age of 3.6 years (range, 0.1-8.9 years). There was no difference in the distribution of sex, insurance status, or socioeconomic status between children who received polysomnography and those who did not. There was a significant difference in race distribution ( P = .0004) and distance from home to the medical center ( P < .0001) between groups. Among multiple medical comorbidities, only children with a history of hypothyroidism ( P = .003) or pulmonary aspiration ( P = .01) were significantly more likely to have obtained polysomnography. Conclusions Overall, 60% of children with Down syndrome obtained a polysomnogram. There was no difference between groups by payer status or socioeconomic status. A significant difference in race distribution was noted. Proximity to the medical center and increased medical need appear to be associated with increased likelihood of obtaining a polysomnogram. This study illustrates the need for improvement initiatives to increase the proportion of patients receiving guideline-based screening.

scholarly journals Effects of Pidotimod on recurrent respiratory infections in children with Down syndrome: a retrospective Italian study

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Diletta Valentini ◽  
Chiara Di Camillo ◽  
Nadia Mirante ◽  
Valentina Marcellini ◽  
Rita Carsetti ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Respiratory Infections ◽  
Italian Study ◽  
Children With Down Syndrome ◽  
Recurrent Respiratory Infections

Should We Mend Their Broken Hearts? The History of Cardiac Repairs in Children With Down Syndrome

PEDIATRICS ◽  
2014 ◽  
Vol 134 (6) ◽  
pp. 1048-1050 ◽  
Author(s):  
Chantelle R. Champagne ◽  
Melanie Lewis ◽  
Dawna M. Gilchrist
Keyword(s):  
Down Syndrome ◽  
Children With Down Syndrome ◽  
History Of

scholarly journals COVID-19 and Children With Down Syndrome: is There Any Real Reason to Worry? Case Report

2020 ◽  
Author(s):  
Ahmad Kantar ◽  
Angelo Mazza ◽  
Ezio Bonanomi ◽  
Marta Odoni ◽  
Manuela Seminara ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Risk Factor ◽  
Chromosome 21 ◽  
Cytokine Storm ◽  
Case Presentation ◽  
Biological Condition ◽  
Children With Down Syndrome ◽  
Number Of Children ◽  
Antiviral Responses ◽  
Cardiovascular Anomalies

Abstract Background: Down syndrome (DS) is characterised by a series of immune dysregulations, of which interferon hyperreactivity is a key one as it is responsible for surging antiviral responses and probable initiation of an amplified cytokine storm. This biological condition is attributed to immune regulators encoded in chromosome 21. Moreover, DS is characterised by the coexistence of cardiovascular and respiratory anomalies as well as obesity, which constitutes a risk factor for SARS-CoV-2 respiratory disease (COVID-19).Case presentation: Of the total number of children 55 admitted to paediatric wards in Bergamo in the period between February to May 2020 for COVID-19 infection, we present 2 children with DS and confirmed COVID-19 diagnosis that had a severe course. In addition, both cases had one or more comorbidities, being cardiovascular anomalies, obesity, and/or OSA.Conclusions: Our observations indicate the need to consider children with DS a population at a risk of severe COVID-19.

scholarly journals Acute Respiratory Infection in Co-Infection Form of Bacteria and Virus, Human Bocavirus with Streptococcus pneumoniae: A Case Report

2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Mehrdad Mohammadi
Keyword(s):  
Respiratory Infection ◽  
Respiratory Infections ◽  
Causative Organism ◽  
Human Bocavirus ◽  
Gastrointestinal Infections ◽  
Case Presentation ◽  
Microbiological Methods ◽  
Life Threatening ◽  
History Of ◽  
Tract Infections

Introduction: Human bocavirus (HBoV) belongs to the Parvoviridae family, which has been revealed to be associated with respiratory and gastrointestinal infections in children. There are many reports worldwide on respiratory infection or gastroenteritis caused by this virus. Case Presentation: In a twin case (a girl and a boy), we demonstrated that HBoV infection in combination with Streptococcus pneumonia as co-infection caused the death of a 14-month-old girl with a history of high fever and wheezing. A week later, her brother presented with almost the same symptoms, but only HBoV was found in a nasopharyngeal aspirate sample. Discussion: This case suggests that lower respiratory tract infections due to HBoV may cause severe and life-threatening diseases, resulting in death in combination with a bacterial infection, such as S. pneumonia. The study suggests replacing multiplex PCR as a fast and meticulous method instead of conventional and time-consuming microbiological methods for determining the causative organism for respiratory infections.

Nursing care for children with Down Syndrome (DS) and leukemia

2013 ◽  
Vol 17 (6) ◽  
pp. 894-895
Author(s):  
J. Iida ◽  
M. Hirata ◽  
D. Hasegawa ◽  
A. Sekitomi ◽  
Y. Toriyama ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Nursing Care ◽  
Children With Down Syndrome

scholarly journals COVID-19 and children with Down syndrome: is there any real reason to worry? Two case reports with severe course

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ahmad Kantar ◽  
Angelo Mazza ◽  
Ezio Bonanomi ◽  
Marta Odoni ◽  
Manuela Seminara ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Case Reports ◽  
Chromosome 21 ◽  
Disease Course ◽  
Case Presentation ◽  
Biological Condition ◽  
Children With Down Syndrome ◽  
Antiviral Responses ◽  
Obstructive Sleep ◽  
Cardiovascular Anomalies

Abstract Background Down syndrome (DS) is characterized by a series of immune dysregulations, of which interferon hyperreactivity is important, as it is responsible for surging antiviral responses and the possible initiation of an amplified cytokine storm. This biological condition is attributed to immune regulators encoded in chromosome 21. Moreover, DS is also characterized by the coexistence of obesity and cardiovascular and respiratory anomalies, which are risk factors for coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Case presentation A total of 55 children were admitted to the pediatric ward in Bergamo, between February and May 2020 for COVID-19. Here, we describe the cases of two children with DS and a confirmed COVID-19 diagnosis who had a severe course. In addition, both cases involved one or more comorbidities, including cardiovascular anomalies, obesity, and/or obstructive sleep apnea. Conclusions Our observations indicate that children with DS are at risk for severe COVID-19 disease course.

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