ABSTRACT
The features of community-acquired acute lower respiratory tract infections in 390 children are described. Half (50%) presented with bronchiolitis, 37% with pneumonia and 13% with croup. Respiratory syncytial virus was the commonest agent identified (52% of bronchiolitis, 29% of pneumonia, 51% of croup). Positive bacterial blood cultures were obtained in 10% of the patients, all except one with pneumonia. Fever (> 39 degrees C), a toxic ill look, bronchial breathing, WCC > 20 x 10(9)/l, neutrophils > 5 x 10(9)/l, platelet count > 500 x 10(9)/l, ESR > 45 mm/hr, lobar consolidation and pleural effusion were more likely to be associated with bacterial than with viral pneumonia (relative risk > 1.81; p < 0.05). In areas with limited resources, a high fever, a toxic ill look, bronchial breathing and simple laboratory tests may help to identify patients with bacterial pneumonia.
Subject(s)
Respiratory Tract Infections/microbiology , Acute Disease , Bronchiolitis/etiology , Child , Child, Preschool , Community-Acquired Infections/complications , Community-Acquired Infections/microbiology , Community-Acquired Infections/virology , Croup/etiology , Female , Haemophilus Infections/complications , Humans , Infant , Infant, Newborn , Kuwait , Male , Pneumonia/etiology , Respiratory Tract Infections/complications , Respiratory Tract Infections/virology , Seasons , Staphylococcal Infections/complications , Streptococcal Infections/complicationsSubject(s)
Respiratory Syncytial Virus Infections/epidemiology , Respiratory Syncytial Virus, Human/isolation & purification , Age Distribution , Child , Child, Preschool , Female , Humans , Incidence , Infant , Infant, Newborn , Kuwait/epidemiology , Male , Prospective Studies , Respiratory Syncytial Virus Infections/physiopathology , Respiratory Tract Infections/epidemiology , Respiratory Tract Infections/virology , Seasons , Sex Distribution , Survival RateABSTRACT
Kenny-Caffey Syndrome is a rare syndrome characterized by growth retardation, uniformly small slender long bones with medullary stenosis, thickened cortex of the long bones, hypocalcemia possibly with tetany at an early age, hyperphosphatemia, ocular abnormalities, and normal intelligence. We report a child with Kenny-Caffey Syndrome and idiopathic hypoparathyroidism and present a review of the literature summarizing the reported cases of this rare syndrome.
