RESUMO
The aim of this study was to reevaluate patients diagnosed as pneumonia in our outpatient clinic in an effort to determine whether these patients really had pneumonia and needed antibiotic therapy. Over a 14-month period, 119 children who were diagnosed as pneumonia were prospectively evaluated. In order to find a relationship, specificity and sensitivity were defined. The diagnosis of pneumonia was ruled out in 48 of the 119 (40%) patient included. An incorrect diagnosis of pneumonia was made in 40% of cases and antibiotics were prescribed unnecessarily in 85%. Tachypnea, which had a specificity of 99% and sensitivity of 61%, was the most important criteria in diagnosing pneumonia. We believe that children who present with cough only do not always need antibiotic treatment. Tachypnea and auscultation findings are important criteria for diagnosing and treating pneumonia.
Assuntos
Erros de Diagnóstico , Pneumonia/diagnóstico , Antibacterianos/uso terapêutico , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Masculino , Pneumonia/tratamento farmacológico , Pneumonia/fisiopatologia , Estudos Prospectivos , Infecções Respiratórias/diagnóstico , Sensibilidade e Especificidade , TurquiaRESUMO
A case of neonatal respiratory distress due to a pedunculated nasopharyngeal dermoid is presented with its MRI assessment. The dermoid was removed without complications. Nasopharyngeal teratomas are uncommon, consisting of tissues from all three germ layers with varying degrees of differentiation. Symptoms arise during the neonatal period and are associated with airway obstruction. MRI can be performed for contemporary assessment. The first goal of management is to establish a safe and protected airway using complete surgical excision.
