HDR syndrome: a case report

The triad of hypoparathyroidism, sensori neural deafness, and variable renal system defects is known as HDR syndrome. It is an autosomal dominant inherited disorder. The clinical features of early onset deafness are the most completely penetrate part of this syndrome, but that of the hypoparathyroidism can present at any age. Here we report a 13-year-old Jordanian girl, presented with history of recurrent generalized tonic-clonic convulsions since two months, further history revealed bilateral hearing loss since birth. On examination, she has normal growth parameters, normal facial appearance. Her laboratory data were consistent with hypoparathyroidism. Radiological evaluations showed absent right kidney and basal ganglia's calcifications. Diagnosis of HDR syndrome was made. In conclusion, congenital sensori neural deafness can be a guide for early diagnosis of HDR syndrome in order to start early management and prevention of central nervous system and renal system complications

Marine animal injuries to children in the South of Jordan

The aim of this study was to report the common marine animal injuries sustained by Jordanian children. A prospective study of 152 patients, who sustained different marine animal injuries in the Gulf of Aqaba and treated at Princess Haya Hospital during the period from January 2004 to January 2006. One hundred and fifty two children who sustained marine animal injuries were managed with marked male predominance [9.9:1]. Injuries were most frequent during July [32.9%] and during the night [75%]. Sea Urchin was incriminated in 136[89.5%], while Lionfish and Stonefish were the cause of 14[9.2%] and 2[1.3%] respectively. All injuries were involving the limbs, with feet injured in 130 [85.5%] and h and s in 22[14.5%]. Only 20[13.1%] patients required admissions to the hospital. Although no deaths were reported, variable severe systemic and local manifestations were caused by Stonefish, whereas Sea Urchin and Lionfish presented mainly with local reactions. All patients injured by Stonefish were managed in the intensive care unit and Stonefish antivenom was given. Sea Urchin was the commonest cause of injuries while Stonefish was the cause of most serious injuries