Assuntos
Humanos , Masculino , Anemia , Recidiva , Raquitismo , Lactente , Pulmão/patologia , EsplenomegaliaRESUMO
Acrodermatitis enteropathica is an inherited rare disease resulting in a disorder of zinc metabolism. Authors report a case of acrodermatitis enteropathitis enteropathica in a 6 months old infant. Typical cutaneous and mucosal lesions, diarrhea and brother's death in similar circunstances allowed the diagnosis which was confirmed by the serum zinc level. The outcome was good under zinc oral supplementation
Assuntos
Humanos , Masculino , Zinco/metabolismo , Lactente , Diarreia InfantilRESUMO
The new-born infection remains frequent and serious. In order to codify the diagnosis and the antibiotherapy indications, the authors propose a diagnostic score. The score, based on anamnestic, clinical and paraclinical criteria, is evaluated through a prospective study on 65 new-borns, hospitalised in the intensive care unit of the Casablanca children's hospital, and which were suspected of new-born infection. The diagnostic score proved to be unreliable. The anamnestic criteria used weren't significantly correlated to the new-born infection. The clinical arguments were of good diagnostic value. Among the biological arguments, the CRP [C reactive protein] results analysis has shown a high rate of negative falses for technical problems reasons. So, the authors propose a decisionnal schema for the diagnosis and the initial behaviour in case of new-born infection suspicion. They also stress on the necessary rigorous clinical supervision and a complete and well interpreted paraclinical check-up