Radiologic Findings of Meconium Aspiration of the Newborn

Authors reviewed 264 cases of meconium aspiration pneumonia of the newborn at Sohwa Children's Hospital from July 1981 to June 1984. The radiologic findings were retrospectively analysed with particular attention to the degree of pulmonic infiltrations. The results were as follow: 1. The male to female ratio was 1.8:1 and clinical conditions which commonly associated were postterm infants (41.3%), placental dysfunction syndrome (33%) and perinatal asphyxia (11.4%). 2. There were improved (76.9%) and expired cases (12.1 %) as clinical course. 3. Radiologic findings were noticed .as pulmonic infiltration (68.2%), hyperinflation (35.2%), pneumomodiastinum (18.6%), pleural effusion (14.4%), pneumothorax (13.3%) and suggestive interstitial emphysema (6.8%). The more the degree of pulmonic infi ltration was been severe, the more the incidence of other pulmonic lesions was increased. 4. Pulmonic infiltrations were commonly occured in both lungs but pneumothorax, pleural effusion and hyperinflation in right. 5. Radiologic findings of 32 expired cases were noticed as pulmonic infiltrations (93.8%), hyperinflation (53.1 %), pneumomediastinum (37.5%), pneumothorax (18.8%), suggestive interstitial emphysema (18.8%) and pleural effusion (18.8%).

A Case of Congenital Generalized Lipodystrophy

No abstract available.

A clinical study of throat culture in pediatric patients

Infants and children of 227 cases with respiratory diseases and 743 cases with non-respiratory disease admitted to pediatric department of NMC for 3 years, from Sept. 1974 to Aug. 1977 were taken throat swabs for bacterial cultures and the results were evaluated for various disease state. The following results were obtained: 1. Total number of bacteria isolated from respiratory and non-respiratory patients were 87 and 168, respectively. 2. Age distribution of cluture revealed 52% of positively cultured patients were below 6 months of age and 65% were less than 1 year of age. 3. Frequency of bacterial isolation were as follows: In respiratory disease, Staphylo. Aureus, Klebsiella, E.Coli, and D.Pneumoniae were isolated in order of frequency. In non-respiratory disease, Staphylo. Aureus, Staphylo. Epidermidis, Klebsiella, D.Pneumoniae, and E.Coli were isolated in order of frequency. 4. Bacterial sensitivity to several antibiotics showed same rate of sensitivity to same kind of antibiotics on the both respiratory and non-respiratory patients. The concept that bacteria from throat swab does not accurately represent the pathogenic organism in the lower respiratory disease should be kept in mind in interpreting the results of the throat culture.