Résumé
A study of the episodes of acute respiratory infection (ARI) that occurred in a paediatrician's daughter during infancy; revealed 11 episodes with an average duration of 8.7 days (range: 3-18 days). In nine of the episodes; family members experienced ARI which preceded that of the infant by a mean of four days (range: two-seven days). Relevant factors to this ARI experience included family size; number of siblings at school and household irritants. Most of the ARI episodes in the infant required only liberal intake of oral fluids; breast feeding and nasal toiletting
Sujets)
Nourrisson , Nouveau-né , Maladies de l'appareil respiratoireRésumé
The case of a 2 month old Nigerian girl with right-sided pulmonary aplasia and extra-pulmonary anomalies is presented. The early demise of the patient is attributable to the apprarent dextrocardia; repeated bronchopneumonia of the sole lung and failure to institute continuous antibiotic therapy. The difficulty in differentiating between pulmonary aplasia; agenesis and hypoplasia is highlighted
Sujets)
Malformation congénitale kystique adénomatoïde du poumonRésumé
In order to determine the relationship between persistent cough without wheezing and asthma; 22 children between the ages of presentation 6 and 15 years with persistent cough as the sole presentation of illness were evaluated for exercise induced bronchospasm (EIB). Despite normal base-line peak expiratory flow rates (PEFR); all the subjects demonstrated significant EIB (mean PEFR fall from resting value was 27.8); which was abolished by bronchodilator therapy. Furthermore; all the subjects improved symptomatically during bronchodilator therapy. However; unlike typical asthmatics; history of personal allergy was absent; and positive response to prick skin test was infrequent. It is suggested that children with persistent cough without wheezing and breathlessness should be evaluated for bronchial asthma and when age or lack of facilities precludes such evaluation; a therapeutic trial of bronchodilator is advocated