ABSTRACT
We present an extremely rare occurrence of penicillin-resistant Streptococcus pneumonia osteomyelitis infection in a four-month-old premature infant. The baby presented with swelling of the thigh and low-grade fever. The X-ray of the leg was suggestive of fracture of the femur, while the ultrasonography revealed a periosteal reaction suggestive of osteomyelitis of the bone. Aspiration of the pus confirmed the presence of penicillin-resistant streptococcus pneumonia. The infection was managed with intravenous Cefepime for three weeks followed by another three weeks of oral Augmentin; the infant had good clinical and radiographic recovery
ABSTRACT
Mycoplasma pneumonia-induced rash and mucositis [MIRM] has been recognized recently as a milder form of Stevens-Johnson syndrome [SJS]. It involves mainly the mucous membranes, and the skin is less affected. The SJS is a serious disease, which carries a significant mortality risk. However, the prognosis for the MIRM variant is good. A five-year-old child who had a mild form of Stevens-Johnson syndrome had a positive serology test for mycoplasma pneumoniae is presented. The child was managed with intravenous hydration and did not receive antibiotics. His clinical condition improved and his lips appeared less swollen and less hemorrhagic. He was discharged after seven days in good medical condition
ABSTRACT
Objective: To evaluate the course of jaundice in newborns with G6PD reduced activity compared to G6PD normal activity
Design: A Prospective Study
Setting: Salmaniya Medical Complex and Jidhafs Maternity Hospital, Bahrain
Method: This is a prospective study on newborns from May to September of 2015. Total Serum Bilirubin [TSB] was measured from day one of life to day seven for all neonates. G6PD activity was documented from the records
Results: One hundred twenty-five children were included in the study; 71 [56.8%] were newborns with normal G6PD activity and 54 [43.2%] were G6PD reduced activity. The mean TSB was significantly higher in newborns with G6PD reduced activity 11.23 +/- 3.50 mg/dl compared to newborns with G6PD normal activity 9.52 +/- 4.16 mg/dl [P-value 0.001]
The mean TSB on day one for newborns with G6PD reduced activity was higher compared to newborns with G6PD normal activity; 6.37 +/- 6.76 mg/dl and 1.82 +/- 1.94 mg/dl respectively [P-value 0.078]
Conclusion: The course of hyperbilirubinemia in children with G6PD reduced activity was different compared to children with G6PD normal activity. The mean TSB was significantly higher in newborns with G6PD reduced activity. A bilirubin level of 6mg/dl during the first neonatal day could be an indicator for the presence of G6PD reduced activity in the newborn
ABSTRACT
A six-week-old female infant presented with acute progression of abdominal distension and sudden pallor. Abdominal CT scan revealed large renal mass. The patient underwent total nephrectomy. The pathologic features and immune staining confirmed the presence of atypical cellular congenital mesoblastic nephroma. The patient died two months later because of chemotherapy toxicity
ABSTRACT
Objective: To evaluate the relation between the transcutaneous bilirubin [TcB] measurement and the total serum bilirubin [TSB] measurement in the newborns in Bahrain. Setting: Salmaniya Medical Complex and Jidhafs Maternity Hospital, Bahrain. Design: A Prospective Study
Method: Newborns from May to September 2015 were included in the study. Serial transcutaneous bilirubin [TcB] measurements were obtained utilizing the Drager Jaundice Meter JM-103. Simultaneously, TSB measurements were performed for comparison
Result: Eighty-eight newborns were included. One hundred twenty-eight transcutaneous bilirubin TcB measurements were paired with TSB measurement. The mean +/- SD of [TcB-TSB] difference for the 128 paired measurements was 1.09 +/- 2.16 mg/dL, with differences ranging from 6.18 mg/ dL to 7.00 mg/dL. The correlation between the paired measurements was 0.75 [P-value < 0.0005]
Conclusion: TcB measurement is a viable tool for bilirubin screening in newborns
ABSTRACT
A one-month-old infant had an unusual presentation of Mesenchymal Hamartoma of the Chest Wall [MHCW]. The patient presented with excessive crying. Chest X-ray revealed a large chest mass. The CT and MRI scans revealed heterogeneous mass originating from the posterior aspect of the fifth rib. The patient developed severe respiratory distress and required resection of the mass. The histologic study on the specimen confirmed the diagnosis of mesenchymal hamartoma of the chest wall