Perceptions and attitude towards lumbar puncture [LP] among parents in Kuwait

To assess the knowledge, understanding and acceptance of lumbar puncture [LP] among parents of pediatric patients in hospitals Questionnaire- based cross sectional survey Department of Pediatrics in three hospitals in Kuwait, namely, Al-Amiri, Al-Adan and Al-Jahra hospital Three hundred and fifty-eight parents of children admitted with various underlying diagnoses A self-administered questionnaire. Rate of acceptance of LP, characteristics of parents accepting and refusing LP, reasons for rejecting LP and means to improve LP acceptance among parents in Kuwait. A total of 358 parents responded to the questionnaire. Only 15.3% agreed for LP, 42.5% did not agree and 42.2% preferred taking a second opinion. Relationship to the child, nationality and educational level of the parent were significantly associated with acceptance of LP [p < 0.05]. The majority [79.1%] answered that LP is unsafe because it might cause complications like paralysis [46.2%], pain [16.6%], infertility [17.2%], and deterioration of child's health [12.8%]. Out of the parents who did not accept LP, 67.0% said that they might have changed their mind, if the procedure was fully explained by a doctor with the use of a diagram. Another group [66.0%] felt that the media can help to increase the acceptance of LP among parents. Parent's refusal of LP is a common problem among parents in Kuwait. The main reasons are lack of knowledge and the misconception that this is a harmful procedure. There is a great need to educate parents about the safety of LP in children

Infantile osteopetrosis associated with rickets case report

A 9-month-old male infant was diagnosed as malignant autosomal recessive form of infantile osteopetrosis by presence of anemia, thrombocytopenia, hepatosplenomegaly, failure to thrive, visual and hearing loss, and the typical radiological images on plain radiograms. the patient had associated clinical and laboratory findings as a rare presentation

Kikuchi-Fujimoto disease: two case reports and review of the literature first pediatrics cases reported in kuwait

We reviewed 2 patients who had kikuchi-Fujimoto [KFD] and presented with prolonged fever and lymphadenopathy. The clinical and laboratory aspects of the patients confirmed by excisional lymph node biopsy. The histologic findings of the lymph biopsies showed the characteristic findings consistent with KFD, such as paracortical necrosis with karryorrhexis and an increase in the number of phagocytic histiocytes and atypical lymphoctes. KFD is a rare disease yet should be considered in the differential diagnosis for older children with prolonged fever and lymphadenpathy