ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Child , Venous Thrombosis , Intracranial Thrombosis , Leukemia , AsparaginaseABSTRACT
No disponible
Subject(s)
Humans , Female , Child , Posterior Leukoencephalopathy Syndrome/chemically induced , Antineoplastic Agents/adverse effects , Cisplatin/adverse effects , Magnetic Resonance SpectroscopyABSTRACT
El dolor musculoesquelético es una consulta común en la infancia, y su etiología generalmente es banal. Sin embargo, hay que tener presente que los procesos neoplásicos pueden causar este tipo de síntoma. De hecho, 4 de las 9 leucemias diagnosticadas en nuestro hospital entre noviembre de 2008 y julio de 2009 se iniciaron con dolor musculoesquelético. Por este motivo, presentamos los casos de leucemia y revisamos los distintos parámetros a tener en cuenta para sospechar y realizar una detección precoz de estos procesos, ya que esto supone una mejoría importante del pronóstico (AU)
Musculoskeletal pain is a common complaint in paediatrics usually due to benign diseases. Nevertheless neoplasms, particularly acute leukaemia, must be considered in the differential diagnosis. During the last 9 months 4 of the 9 patients diagnosed with acute leukaemia at our hospital presented with a limp, arthralgias, lumbar or bony pain. We describe these cases and review the clinical and analytical parameters that help to differentiate benign pain from that associated with a malignant disease. The early detection of these processes may represent a significant improvement in their prognosis (AU)
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Musculoskeletal Diseases/etiology , Pain/etiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Arthritis/etiology , Neoplasms/diagnosisABSTRACT
Musculoskeletal pain is a common complaint in paediatrics usually due to benign diseases. Nevertheless neoplasms, particularly acute leukaemia, must be considered in the differential diagnosis. During the last 9 months 4 of the 9 patients diagnosed with acute leukaemia at our hospital presented with a limp, arthralgias, lumbar or bony pain. We describe these cases and review the clinical and analytical parameters that help to differentiate benign pain from that associated with a malignant disease. The early detection of these processes may represent a significant improvement in their prognosis.
Subject(s)
Musculoskeletal System , Pain/etiology , Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications , Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Child , Child, Preschool , Female , Humans , MaleABSTRACT
No disponible
Subject(s)
Humans , Female , Child, Preschool , Arthritis/complications , Arthritis/diagnosis , Arthritis/immunology , Listeria monocytogenes/isolation & purification , Listeria monocytogenes/pathogenicity , Listeriosis/epidemiology , Listeriosis/immunology , Listeriosis/microbiology , Listeriosis/pathology , Fetal Death/physiopathologyABSTRACT
El maltrato infantil es un problema que en muchos casos no llega a ser identificado. El papel del pediatra en la detección de una posible situación de abuso a través de la anamnesis, la exploración física, las pruebas complementarias y los datos sociales es fundamental. El maltrato físico debe formar parte del diagnóstico diferencial de cualquier lesión hallada en un niño. Las contusiones y los hematomas constituyen las manifestaciones más comunes, y existen hallazgos en la exploración que pueden orientar sobre su origen. Toda sospecha de maltrato debe comunicarse a las autoridades competentes. Se presenta un caso de maltrato físico detectado en el servicio de urgencias de un hospital terciario a partir de datos incongruentes en la anamnesis y lesiones sospechosas en la exploración(AU)
Child abuse is an important health problem which is often misdiagnosed. Paediatricians play a vital role in the detection of child maltreatment where, interviewing of parents and child, physical examination, diagnostic testing and investigation of any possible social risk factors is crucial when there is a suspicion. Maltreatment should be considered as part of the differential diagnosis when we face injuries in children. Haematomas and bruises are the most common clinical manifestation of physical abuse, and there are certain patterns which may be suggestive or even diagnostic of its probable origin. Suspected cases of child abuse should be always reported to the appropriate public agency. We present the case of a 12 year old boy, victim of physical abuse, diagnosed in the emergency department of a tertiary hospital based on a suspicion after vague explanation, inconsistent with the injurys characteristics(AU)
Subject(s)
Humans , Male , Child , Upper Extremity/injuries , Medical History Taking/methods , Diagnosis, Differential , Child Abuse/psychology , Child Abuse/therapy , Child Behavior Disorders/epidemiology , Erythema/complications , Domestic Violence , Social SupportSubject(s)
Arthritis, Infectious/microbiology , Listeriosis , Child, Preschool , Chronic Disease , Female , Humans , Immunocompromised HostSubject(s)
Disease Outbreaks , Dysentery, Bacillary/epidemiology , Shigella flexneri , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Dysentery, Bacillary/diagnosis , Dysentery, Bacillary/drug therapy , Dysentery, Bacillary/therapy , Family , Female , Fluid Therapy , Humans , Male , Risk Factors , Spain/epidemiology , Time Factors , Treatment OutcomeABSTRACT
No disponible
Subject(s)
Male , Female , Child, Preschool , Child , Humans , Dysentery, Bacillary/epidemiology , Gastroenteritis/epidemiology , Disease Outbreaks , Shigella flexneri/pathogenicityABSTRACT
La lactancia materna es la forma ideal de alimentación del recién nacido. Entre sus múltiples ventajas está la de prevenir las enfermedades alérgicas. La colitis hemorrágica es una forma de intolerancia a las proteínas de leche de vaca, cuya frecuencia está aumentando especialmente en los niños lactados al pecho. Se debe pensar en ella en un lactante con hebras de sangre en heces sin afectación del estado general, en el que se ha descartado la existencia de una fisura anal y una infección gastrointestinal. El diagnóstico se basa fundamentalmente en la respuesta clínica a la dieta de exclusión. El diagnóstico de certeza raramente se obtiene, ya que el buen pronóstico y la buena evolución del cuadro hacen innecesarios los estudios invasivos. Sólo en casos de persistencia del sangrado se debe valorar la realización de una endoscopia con toma de biopsias. Su tratamiento es la dieta exenta de proteínas de leche de vaca. El tratamiento de los niños alimentados con fórmula es sencillo. Sin embargo, en los casos de lactancia materna exclusiva hay algunos interrogantes que permanecen sin aclarar
Breast milk is the ideal form of nutrition for infants. Among its many advantages is the prevention of allergic diseases. The incidence of hemorrhagic proctocolitis, a manifestation of cows milk protein intolerance, is currently increasing, especially among exclusively breastfed infants. It should be considered in the case of infants with blood-streaked stools despite good general health, in whom the presence of anal fissures and infectious colitis has been ruled out. Diagnosis is mainly based on the clinical response to an exclusion diet. A definitive diagnosis is rarely achieved because the good prognosis and outcome make it unnecessary to perform invasive tests. An endoscopic evaluation and biopsy may be necessary only if the bleeding persists. The treatment is the elimination of cows milk proteins from the diet. The management of formula-fed infants with rectal bleeding is easy. However, in the case of exclusively breastfed infants, there are questions that need to be clarified
