Childhood trichobezoar.

Two cases of trichobezoar with unusual presentation in rural female children are described. The first one in a healthy asymptomatic child with no abnormal psychological behaviour and other one in an emotionally disturbed child with history of trichotillomania. Both were treated surgically with no recurrence. A physical sign of indentibility is discussed and literature is also reviewed.

Poisoning in children: Indian scenario.

The retrospective data on childhood poisoning from eight regional hospitals in India has been reviewed. The demographic features and types of poisonings encountered have been compared. The analysis of the data indicated that pediatric poisonings constituted 0.23-3.3% of the total poisoning. The mortality ranged from 0.64-11.6% with highest being from Shimla. Accidental poisoning was common involving 50-90% of children below 5 years of age and males outnumbered the females. Suicidal poisoning was seen after 13 years of age and was due to drugs and household chemicals. One of the hospitals in Delhi recorded a very high incidence (66.6%) of drug poisoning in children. The drugs consumed belonged to phenothiazines, antiepileptics and antipyretics. Iron poisoning was seen in younger children. Kerosene was one of the causes of accidental poisoning at all hospitals except Shimla and rural Maharashtra were probably wood charcoal is widely used. Pesticide poisoning was more prevalent in Punjab and West Bengal whereas plant poisoning was very common in Shimla. Significant number of snake envenomation has been recorded from rural Maharashtra. Other less common accidental poisonings in children included alcohol, corrosives, heavy metals, rodenticides, detergents and disinfectants. Thus various regions in the country showed some variation in types and frequency of childhood poisoning which could be attributed to different geographical and socio-economic background.

Congenital cytomegalovirus infection in Shimla Hills, Himachal Pradesh, India.

We came across some cases clinically suggestive of intrauterine infection which were confirmed to be congenital cytomegalovirus infection. A clinical profile of these patients is presented. Intracranial calcification was not seen in any of these patients. Mental retardation was profound in all the patients and all had hepatomegaly. Uncommon findings encountered included hydrocephalus, patent ductus arteriosus and corneal opacities. Other clinical findings and investigation are also discussed.

Study of serum zinc in neonates and their mothers in Shimla hills (Himachal Pradesh).

Serum zinc level in cord blood of 159 neonates was estimated by atomic absorption spectrophotometer. The cases were classified according to birth weight and gestation of babies as Term appropriate for date (TAFD), Term small for date (TSFD), Term large for date (TLFD), Preterm appropriate for date (PAFD), Preterm small for date (PSFD) and Preterm large for date (PLFD). The zinc level were also estimated in mothers of these groups at the time of delivery, and compared with cord blood levels of those in non-pregnant mothers. Mean serum zinc level in infant born full term AFD, full term SFD, full term LFD, preterm AFD, preterm SFD and preterm LFD were 79.6 +/- 17.8 micrograms/dl, 58.2 +/- 13.4 micrograms/dl, 84.1 +/- 21.1 micrograms/dl, 81 +/- 25.2 micrograms/dl, 51.2 +/- 51.7 micrograms/dl and 76 +/- 14.7 micrograms/dl respectively. The maternal zinc levels in respective groups were 67 +/- 9.6 micrograms/dl, 56.5 +/- 7.5 micrograms/dl, 63.6 +/- 14.4 micrograms/dl, 62.7 +/- 21.1 micrograms/dl, 54.5 +/- 5.4 micrograms/dl, and 58.2 +/- 2.7 micrograms/dl. The mean serum zinc values in mothers and babies in birth weight group ranging from 1500-2000 gm were 55.3 +/- 4.3 micrograms/dl and 60 +/- 23.1 micrograms/dl, 2001-2500 gm were 59.5 +/- 11.3 and 65.8 +/- 17 micrograms/dl, 2501-3000 gm were 69.2 +/- 9.5 and 84.7 +/- 14 micrograms/dl, 3001-3500 gm were 65.8 +/- 12.7 micrograms/dl, 82.2 +/- 20.8 micrograms/dl and 3501 and above were 70.5 +/- 8.2 micrograms/dl and 85 +/- 14.3 micrograms/dl respectively. Statistically significant low zinc levels were observed in SFD babies and their mothers.(ABSTRACT TRUNCATED AT 250 WORDS)