ABSTRACT
Gastroesophageal reflux with hiatal hernia has been associated with unusual presentations, including rumination syndrome, Sandifer syndrome (reflux esophagitis, iron deficiency anemia and head cocking) and the Herbst triad (iron deficiency anemia, hypoproteinemia and finger clubbing). We report a new case of this rare disease. Lack of awareness of gastroesophageal reflux as a possible cause of these striking symptoms could lead to complications and delayed surgery.
Subject(s)
Anemia, Iron-Deficiency/complications , Fingers/abnormalities , Gastroesophageal Reflux/complications , Hypoproteinemia/complications , Child , Female , Humans , SyndromeABSTRACT
El Herpes zoster (HZ) es la consecuencia clínicade la reactivación demorada del virus varicela-zoster(VVZ). La enfermedad es propia del adulto pero loscasos pediátricos no son infrecuentes. Afecta, principalmente,a niños inmunodeprimidos y a lactantespor reactivación del virus latente adquirido transplacentariamentedurante la vida intrauterina (varicelade la gestante). Rara vez sucede en niños normales.Su incidencia es mayor en niños que han padecidola infección varicelosa normal que en aquellosotros que han sido inmunizados activamente. Dadoque la vacunación contra la varicela se está extendiendorápidamente, el zoster podría llegar a seruna curiosidad en la infancia.La alteración de la inmunidad celular e inespecífica(células natural killer) parece jugar un papelesencial en su desarrollo. En el niño la enfermedadsuele ser benigna y el tratamiento se limita a medidasconservadoras. En los niños inmunodeficientesla infección puede ser severa requiriendo la administraciónintravenosa de antivirales de los que elaciclovir es el de elección
Herpes zoster (HZ) is the clinical consequence oflate reactivation of the varicella zoster virus (VZV). Itinfects mainly the elderly but pediatric cases are notuncommon. It occurs mostly in immunocompromisedchildren or in infancy after reactivation of latent VZVinfection acquired transplacentally during intrauterinelife. Rarely, HZ occurs in otherwise normal children.The incidence of HZ in children is higher afternatural varicella infection than after varicella vaccination.As the childhood population becomes increasinglyimmunized, zoster in children should becomea medical curiosity. The impairment of cellular andnon specific immunity (natural killer cells) appears tohave a particular role in the occurrence of HZ. Zosterin children typically runs a benign, mild course.Treatment of the usual form comprises antisepticmeasures and relief of pruritus. In immunocompromisedchildren, the infection is generally severe,thus requiring specific intravenous antiviral therapywith antiviral drugs without delay. Acyclovir is a firstlineagent
Subject(s)
Male , Female , Child , Adolescent , Humans , Herpes Zoster/epidemiology , Herpesvirus 3, Human/pathogenicity , Acyclovir/therapeutic use , Herpes Zoster/diagnosis , Herpes Zoster/therapy , Immunocompromised HostABSTRACT
El Herpes zoster (HZ) es la consecuencia clínicade la reactivación demorada del virus varicela-zoster(VVZ). La enfermedad es propia del adulto pero loscasos pediátricos no son infrecuentes. Afecta, principalmente,a niños inmunodeprimidos y a lactantespor reactivación del virus latente adquirido transplacentariamentedurante la vida intrauterina (varicelade la gestante). Rara vez sucede en niños normales.Su incidencia es mayor en niños que han padecidola infección varicelosa normal que en aquellosotros que han sido inmunizados activamente. Dadoque la vacunación contra la varicela se está extendiendorápidamente, el zoster podría llegar a seruna curiosidad en la infancia.La alteración de la inmunidad celular e inespecífica(células natural killer) parece jugar un papelesencial en su desarrollo. En el niño la enfermedadsuele ser benigna y el tratamiento se limita a medidasconservadoras. En los niños inmunodeficientesla infección puede ser severa requiriendo la administraciónintravenosa de antivirales de los que elaciclovir es el de elección
Herpes zoster (HZ) is the clinical consequence oflate reactivation of the varicella zoster virus (VZV). Itinfects mainly the elderly but pediatric cases are notuncommon. It occurs mostly in immunocompromisedchildren or in infancy after reactivation of latent VZVinfection acquired transplacentally during intrauterinelife. Rarely, HZ occurs in otherwise normal children.The incidence of HZ in children is higher afternatural varicella infection than after varicella vaccination.As the childhood population becomes increasinglyimmunized, zoster in children should becomea medical curiosity. The impairment of cellular andnon specific immunity (natural killer cells) appears tohave a particular role in the occurrence of HZ. Zosterin children typically runs a benign, mild course.Treatment of the usual form comprises antisepticmeasures and relief of pruritus. In immunocompromisedchildren, the infection is generally severe,thus requiring specific intravenous antiviral therapywith antiviral drugs without delay. Acyclovir is a firstlineagent
Subject(s)
Male , Female , Child , Adolescent , Humans , Herpes Zoster/epidemiology , Acyclovir/therapeutic use , Herpes Zoster/physiopathology , Herpesvirus 3, Human/pathogenicity , Herpesvirus 3, Human , Chickenpox Vaccine/pharmacokineticsSubject(s)
Jugular Veins , Vascular Diseases/diagnosis , Child, Preschool , Dilatation, Pathologic , Humans , MaleSubject(s)
Chickenpox , Herpes Zoster/transmission , Pregnancy Complications, Infectious , Family Health , Female , Humans , Infant , Male , PregnancySubject(s)
Acquired Immunodeficiency Syndrome/diagnosis , Diseases in Twins , HIV Seropositivity/diagnosis , Acquired Immunodeficiency Syndrome/immunology , Acquired Immunodeficiency Syndrome/transmission , Female , HIV Antibodies/immunology , HIV Seropositivity/immunology , HIV Seropositivity/transmission , Humans , Infant, Newborn , Maternal-Fetal Exchange , Pregnancy , Prenatal Exposure Delayed Effects , Risk Factors , Twins, DizygoticABSTRACT
The authors presents 3 cases of Kawasaki disease where, in all cases, a perineal rash or rash located in the diaper area, was an initial or predominant sign. We highlight the interest of this discovery for the early and diagnostic of this disease, in both its classics and incomplete forms, and with this achieve efficiency in the preventive treatment of the cardiovascular complications.
Subject(s)
Diaper Rash/etiology , Mucocutaneous Lymph Node Syndrome/complications , Humans , Infant , MaleABSTRACT
Two cases are reported in which Lancefield group beta-haemolytic streptococci were isolated from culture- from the perineal skin. The physical examination showed perianal irritation and excoriation in both cases and seropurulent anal and balano-preputial discharge in the first only. To the best of our knowledge, this is the first case in which the streptococcal perianal disease is associated to a balanoposthitis and at the same time increments the clinical spectrum of the illness.
Subject(s)
Balanitis/etiology , Skin Diseases, Infectious/etiology , Streptococcal Infections , Child, Preschool , Female , Humans , Infant , Male , PerineumABSTRACT
We report three children with benign paroxysmal torticollis (BPT) and review the literature. BPT represents a self-limited disorder that occurs mainly in infancy and in females. The condition is characterized by recurrent spells of torticollis which may, or may not, be accompanied by other symptoms such as vomiting, pallor, ataxia, irritability and drowsiness. The diagnosis of BPT should be established clinically, although, in some cases, it is necessary to rule out conditions such as posterior fossa tumor, cervical dislocation, ocular palsy, dystonia due to side effects of drugs, or Sandifer's syndrome. The etiology of the syndrome remains unknown and, at present, there is no effective therapy.
Subject(s)
Torticollis , Child, Preschool , Female , Humans , Infant , Posture , Torticollis/diagnosis , Torticollis/physiopathologyABSTRACT
Two patients, a mother and her daughter, who manifested the clinical features of the oro-facial-digital syndrome (OFD I) are reported. The mother have polycystic disease of the kidneys. Clinical data and genetic aspects are commented in relation with these new cases.
Subject(s)
Abnormalities, Multiple/genetics , Orofaciodigital Syndromes/genetics , Adult , Female , Genetic Linkage , Humans , Infant , Phenotype , Polycystic Kidney Diseases/genetics , X ChromosomeSubject(s)
Thyroiditis/pathology , Abscess/surgery , Acute Disease , Child, Preschool , Drainage , Humans , Male , Suppuration , Thyroiditis/surgeryABSTRACT
The authors present the case of a 4 year old girl affected by malaria, the latter having been imported from Equatorial Guinea. The initial treatment of the disease with adequate administration and duration of chloroquine therapy, did not impede the recurrence of the disease, once the patient seemed apparently cured. Although due to the special evolutionary circumstances it was not possible to clinically confirm the chloroquine resistant of the parasite, it is considered, to best of our knowledge, to be the first pediatric case of probable chloroquine-resistant Plasmodium falciparum malaria imported into Spain from Western Africa.
