ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy may increase the risk of stillbirth, neonatal death, preterm birth, low birth weight, fetal distress, and neonatal asphyxia. Vertical transmission of SARS-CoV-2 is under investigation. Afew reports suggest the possibility of SARS-CoV-2 transmission from mothers to their neonates. The SARS-CoV-2 virus was reported as one of the rare causes of fetal inflammatory response syndrome (FIRS) and is associated with multisystem inflammatory syndrome in children (MIS-C).
ABSTRACT
Sirenomelia is a rare and fatal congenital defect characterized by varying degrees of lower limb fusion, thoracolumbar spinal anomalies, sacrococcygeal agenesis, genitourinary, and anorectal atresia. We report a case of baby, born with narrow chest, bilateral hypoplastic thumb, fused lower limbs with a single foot and 5 toes, absent external genitalia, imperforate anus and umbilical cord with single umbilical artery. When diagnosed antenatally, termination should be offered
ABSTRACT
Introduction: Paediatric medico-legal cases are important public health problems in the paediatric casualty in India. These cases are among the leading causes of paediatric disabilities and deaths. We conducted a study to evaluate the demographic features of the medico-legal cases who presented to our paediatric casualty. Methodology: In a total of two-year study period, 120 patients were presented in casualty as medico-legal cases. Information about the patients was obtained from hospital records and analysed by us from casualty. Results: 70 male (58.3%) and 50 female (41.6%) patients were included in our study. The majority of the patients were between 10- 14 years of age (n=30; 25.0%). Fall from height was the major complaint (n= 60; 50%) of our patients. Winter was the most common season (n= 37; 30.6%) and January (n=13; 11%) was the most common month for medico-legal admissions. The majority of the patients (n=42; 35%) presented to our emergency room between 18-24 hours. 78 cases (65%) had health risks at the time of presentation. Conclusion: Developing effective & preventive strategies is essential to prevent child injuries. Majority of cases were males and adolescents. There is an urgent need to focus more on this vulnerable age group i.e., adolescent age group. There should be increased awareness among paediatricians about these medico legal cases and improving counselling skills to handle relatives of patients
ABSTRACT
Skin and soft-tissue infections (SSTIs) are common diagnosis in both the pediatric and adult populations and include abscesses and cellulitis. An abscess is a focal, contained, purulent infection with a clearly defined “cavity” and surrounding inflammation involving the deep subcutaneous tissues. There has been overall increase in SSTIs, with a concomitant rise in the incidence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). We here report a case of facial subcutaneous abscess in neonate, a 20-days-old male full term baby born to a G2P1D1 mother via LSCS in view of non-progression of labor with birth weight of 2.8 kgs presented in our hospital with subcutaneous abscess diffusely present on the left side of the scalp & face. Informant was father with good reliability. All relevant investigations sent & IVantibiotics like meropenem & vancomycin started. Incision & drainage done by pediatric surgeon & 100 ml pus removed. IVantibiotics given for 14 days. In summary, though upper & lower limb skin abscesses are more common, but one should not miss the facial subcutaneous abscess for their prompt and effective management.
ABSTRACT
Aim: To study the cost-effectiveness of clinical screen with ultrasonography (USG) of hip for diagnosing developmental dysplasia of the hip (DDH) in new borns. Methodology: Prospective study was conducted in DVVPF's Medical College and Hospital, Ahmednagar over a period of two years. Term new borns had (i) target scan at 6 weeks—family history of DDH or breech presentation—and (ii) early scan—abnormal clinical screen. Results: In all, 58 babies had USG scan. Five early scans (Graf's classification; three Type IIA, one Type IIC and one Type IIIB] and 15 target scans (Type IIA) were reported abnormal. All Type IIADDH had subsequent 12 weeks' scans normal. Babies with Type IIIB and IIC had hip reduction surgery at 6 and 16 months of age, respectively. At cost Rs. 200 INR/- scan, total Rs. 1,47,200/- INR was incurred against two possible hip replacements prevented. Conclusion: Universal clinical screen with USG of hip can aid in early diagnosis of DDH in newborns. Large population-based studies from developing countries need to look in its cost-effectiveness.