ABSTRACT
Tuberculosis in the world is the mean cause of death from single infectious agent. It is reported increase not only in underdeveloped countries but in developed too. Tuberculosis meningitis is a very serious form of tuberculosis. Outcome in tuberculosis meningitis is associated with the stage of the disease at presentation. When the child at presentation is extremely ill with coma the completely recovery is seen only in about 20% of cases. In our case patient had severe ocular complications: optochiasmatic tuberculomas. It is difficult recognize the two forms of tuberculomas intra- and perichiasmatic even with RNM. The good response at intrathecal therapy with recovery of the visus proves the perichiamsatic localitation of tuberculomas.
Subject(s)
Blindness/etiology , Optic Chiasm , Tuberculoma , Tuberculosis, Meningeal/complications , Tuberculosis, Ocular/complications , Antitubercular Agents/therapeutic use , Child , Female , Humans , Injections, Spinal , Magnetic Resonance Imaging , Time Factors , Tuberculoma/diagnosis , Tuberculosis, Meningeal/diagnosis , Tuberculosis, Meningeal/drug therapy , Tuberculosis, Ocular/diagnosis , Tuberculosis, Ocular/drug therapyABSTRACT
Reflex sympathetic dystrophy, a well-described clinical entity that is frequently encountered in adults, is uncommonly reported in children. We report a case of reflex sympathetic dystrophy in a little girl aging 8 years. The main symptom was the acute pain referred to the right lower extremity. We underline once more the difficult of diagnosis and the contribution of 3-phase bone scan.
Subject(s)
Reflex Sympathetic Dystrophy , Age Factors , Bone and Bones/diagnostic imaging , Child , Diagnosis, Differential , Female , Humans , Knee Joint/diagnostic imaging , Radionuclide Imaging , Reflex Sympathetic Dystrophy/diagnosis , Reflex Sympathetic Dystrophy/diagnostic imagingABSTRACT
Subcutaneous fat necrosis is an inflammatory disorder of adipose tissue that occurs in the newborn. Fat necrosis has been attributed to birth trauma, asphyxia, prolonged hypothermia. Usually involute spontaneously within weeks to months. Hypercalcemia and hyperlipemia have also been associated.
Subject(s)
Fat Necrosis/diagnosis , Skin Diseases/diagnosis , Back , Diagnosis, Differential , Fat Necrosis/pathology , Female , Humans , Infant, Newborn , Skin/pathology , Skin Diseases/pathologyABSTRACT
In the last few years the therapeutic management of GHD children has been improved by the recent synthesis of GH by DNA recombinant technique (rGH). rGH made it possible to overcome the problems of availability and purity of extractive GH, obtaining the same results (in growth velocity) without any information as regards late side effects of such a treatment. GHRH therapy in GHD patients of hypothalamic origin is still on trial and a lot of aspects are to be pointed out (indications to treatment, schedule and route of administration, cost/benefit ration, side effects).
