ABSTRACT
Transient erythroblastopenia of childhood is a self-limited anemia occurring in previously healthy children, secondary to temporary cessation of erythrocyte production. Although the precise etiology is unclear, most cases are associated with a viral illness. The anemia may be severe, with associated pallor, tachypnea, and tachycardia; treatment is supportive. We present an unusual case of a child with viral-induced transient erythroblastopenia of childhood and associated ectopic atrial tachycardia, requiring therapy with antiarrhythmics.
Subject(s)
Anemia, Hemolytic, Congenital/complications , Anemia, Hemolytic, Congenital/virology , Picornaviridae Infections/complications , Tachycardia, Ectopic Atrial/complications , Anti-Arrhythmia Agents/administration & dosage , Electrocardiography , Female , Humans , Infant , Propranolol/administration & dosage , Rhinovirus , Tachycardia, Ectopic Atrial/drug therapyABSTRACT
A 13-year-old girl presented with the gradual onset of bilateral visual changes. She was initially diagnosed with idiopathic cataracts, but a medical evaluation revealed new-onset type 1 diabetes mellitus with ketosis. The patient was hospitalized and started on a regimen of insulin before discharge and eventual surgical correction of her cataracts. Cataracts are an uncommon initial manifestation of new-onset type 1 diabetes, occasionally in the absence of other more classic symptoms of diabetes. Pediatric patients presenting with bilateral cataracts should be evaluated for a underlying etiology of their cataracts before being referred for surgical correction.
Subject(s)
Cataract/diagnosis , Diabetes Mellitus, Type 1/diagnosis , Emergency Service, Hospital , Adolescent , Blood Glucose/analysis , Cataract Extraction/methods , Diabetes Mellitus, Type 1/drug therapy , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Insulin/therapeutic use , Risk Assessment , Severity of Illness Index , Treatment Outcome , Vision Disorders/diagnosis , Vision Disorders/etiologyABSTRACT
Intussusception is not an uncommon diagnosis in the pediatric emergency department. Although most commonly occurring near the ileocecal junction, we describe a case of a small-bowel-small-bowel intussusception.
Subject(s)
Celiac Disease/diagnostic imaging , Intestinal Diseases/diagnostic imaging , Intestine, Small/pathology , Intussusception/diagnostic imaging , Abdominal Pain/diagnostic imaging , Abdominal Pain/etiology , Celiac Disease/complications , Celiac Disease/surgery , Child, Preschool , Diagnosis, Differential , Female , Humans , Intestinal Diseases/complications , Intestinal Diseases/surgery , Intussusception/complications , Intussusception/surgery , Tomography, X-Ray Computed , Treatment Outcome , UltrasonographyABSTRACT
Opsoclonus-myoclonus-ataxia syndrome is a rare disorder frequently associated with neuroblastoma in pediatric patients. We present the case of an 18-month-old child with symptoms classic of the syndrome and review the current literature with the aim of aiding the clinician in the recognition and early management of this disease.
