RESUMO
Early diagnosis of acute epiglottitis may be difficult in the child presenting atypically. The cases of four patients who displayed atypical presentation are reported. The initial diagnosis in three children was croup and in one, pharyngitis. In the fourth patient, a child who had coexisting meningitis, epiglottitis was an incidental finding. All patients recovered with no sequelae.
Assuntos
Epiglotite , Infecções por Haemophilus , Laringite , Doença Aguda , Pré-Escolar , Epiglotite/diagnóstico , Feminino , Infecções por Haemophilus/diagnóstico , Haemophilus influenzae , Humanos , Laringite/diagnóstico , MasculinoAssuntos
Medicina de Emergência/educação , Bolsas de Estudo , Pediatria/educação , Humanos , OntárioRESUMO
During its first 6 years of operation a large pediatric unit in a suburban general hospital treated 13 children over the age of 2 years for confirmed intussesception. During the same period 14 infants under the age of 2 years were treated for intussusception. It is suggested that the true age incidence of the disease is reflected more accurately by these figures than by those reported by large children's hospitals. The clinical course was often less acute in the older child and hydrostatic reduction was usually effective (in 11 of 12 attempts). Prompt operation is recommended when the condition recurs more than 1 week after reduction because of the increased risk of an underlying intestinal lesion. Practitioners are urged to keep intussusception in mind when assessing an older child with intestinal colic.
