Subject(s)
Hydrocephalus/diagnosis , Osteopetrosis/diagnosis , Child , Diagnosis, Differential , Humans , MaleABSTRACT
The features of the Brachmann-de Lange syndrome are characteristic enough for diagnosis to be made at birth. It is associated with severe physical and mental retardation and its aetiology is obscure, but the syndrome may be heterogenous. Several cases in siblings have been reported, but the case described here appears to be sporadic.
Subject(s)
De Lange Syndrome/pathology , Body Height , Body Weight , Cephalometry , Female , Follow-Up Studies , Humans , Infant, NewbornABSTRACT
The juvenile-type of granulosa theca cell tumour in a young girl is reported. The child presented with pain, vaginal bleeding, distension of the abdomen and enlarged breasts and exhibited pubic and axillary hair, i.e. signs of oestrogenic and androgenic effects and overproduction of luteinizing hormone--an unusual phenomenon. Discussion includes the differences between the juvenile and adult types of this tumour. Salpingo-oophorectomy of the affected side is recommended in such cases. A recurrence many years after surgery has been reported, so long-term follow-up is envisaged in this case.
Subject(s)
Ovarian Neoplasms/complications , Puberty, Precocious/etiology , Thecoma/complications , Child, Preschool , Female , Humans , Ovarian Neoplasms/pathology , Thecoma/pathologyABSTRACT
A case of acute infectious lymphocytosis in a 6 1/2-year-old Black girl is described. The presenting symptoms were headache, vomiting and abdominal pain. The peripheral haematological values showed marked lymphocytosis with absence of atypical lymphocytes. The bone marrow and the thrombocyte count were normal. The girl recovered with symptomatic treatment and continues in good health.
Subject(s)
Lymphocytosis/diagnosis , Acute Disease , Child , Diagnosis, Differential , Female , HumansSubject(s)
Ergonovine/poisoning , Infant, Newborn, Diseases/chemically induced , Oxytocin/poisoning , Pulmonary Edema/chemically induced , Accidents , Humans , Infant, Newborn , Infant, Newborn, Diseases/mortality , Infant, Newborn, Diseases/pathology , Lung/pathology , Male , Pulmonary Edema/mortality , Pulmonary Edema/pathologyABSTRACT
Reports on 3 infants who suffered from congenital dislocation of the knee and 2 with genu recurvatum deformity are presented. The theory that abnormal intra-uterine fetal position may cause these deformities has gained support over previous concepts, as demonstrated by the baby born by caesarean section.
Subject(s)
Joint Dislocations/congenital , Knee Joint/abnormalities , Adult , Female , Femur/abnormalities , Humans , Infant, Newborn , Pregnancy , Tibia/abnormalitiesABSTRACT
A case of bilateral radial clubhand with absence of thumb is presented. The incidence in the African population is not known and this is the first case reported from Botswana. The child was free from other associated anomalies. The ratio of surgery and/or physiotherapy is discussed.
Subject(s)
Hand Deformities, Congenital , Thumb/abnormalities , Botswana , Humans , Infant, Newborn , Male , Physical Therapy ModalitiesSubject(s)
Facial Paralysis/diagnosis , Infant, Newborn, Diseases/diagnosis , Adult , Female , Humans , Infant, Newborn , MaleSubject(s)
Skull Fractures/surgery , Adult , Female , Humans , Infant, Newborn , Male , Methods , Radiography , Skull Fractures/diagnostic imagingABSTRACT
Three cases of subcutaneous emphysema and 1 of subcutaneous and mediastinal emphysema following the bronchopneumonia and upper respiratory tract infection so common in measles are presented. This is a rare complication which occurred in only 0,59% of our measles patients during a period of 3 years, in spite of the fact that many of them had severe respiratory tract involvement. The pathogenesis and management of this type of emphysema in measles are discussed and the role of tracheotomy which can be helpful when airway obstruction is severe, is indicated.
Subject(s)
Emphysema/etiology , Measles/complications , Mediastinal Emphysema/etiology , Respiratory Tract Infections/complications , Subcutaneous Emphysema/etiology , Female , Humans , Infant , Male , Mediastinal Emphysema/therapy , Subcutaneous Emphysema/therapyABSTRACT
A 4-year-old Motswana boy suffered from cryptococcal meningitis; in addition to the signs of meningeal irritation, he had cortical blindness and seventh cranial nerve palsy. The child improved after treatment with amphotericin B and 5-fluorocytosine. It is suggested that this combination may be better than either drug used alone.
