Post-myringotomy oto-liquorrhea in children - A case study and literature review.

Myringotomy is a surgical incision of tympanic membrane used mainly as therapy for acute otitis media. It is a safe and simple procedure; however possible complications must be considered. In this article is described a case study of a 2-and-a-half-year-old girl with a massive oto-liquorrhea following myringotomy.

[Pertussis in a 4-month-old infant with unrecognized cystic fibrosis]. / Pertusse u kojence s nepoznanou cystickou fibrozou.

We present a case report of a small boy with cystic fibrosis complicated by pertussis and pneumothorax. The child had not been vaccinated against Bordetella pertussis due to the failure to thrive and was infected with the bacterium at the age of 4 months. The course of the disease was severe, with respiratory distress and spontaneous pneumothorax. The diagnosis of pertussis was serologically confirmed. A suspicion for cystic fibrosis increased after an unusually prolonged course of the disease and a history of the failure to thrive. A comprehensive diagnostic procedure revealed Pseudomonas aeruginosa respiratory infection, anemia, pancreatic insufficiency, a positive sweat test and the presence of two CFTR gene mutations. The patient, treated with comprehensive cystic fibrosis therapy, recovered from acute respiratory illness and started to thrive soon.

[Case report - pediatric visceral leishmaniasis]. / Kazuistika -visceralni leishmanioza ditete.

The diagnosis of visceral leishmaniasis (VL) is not an easy task. The clinical presentation of VL is similar to lymphomas which have significantly higher incidence in our country. This fact is one of the complications in the diagnosis of VL. Moreover, diagnostic methods have low sensitivity and bone marrow aspiration is necessary. We present a case report of a patient who fell ill in the first year of life and due to atypical lifestyle of his parents was seriously examined after 11 months from the first symptoms of the disease. Many problems with the diagnostic algorithm leading to the definitive diagnosis of VL were encountered. Thereafter, the patient underwent treatment with amphotericin B lipid complex. The course was complicated by febrile neutropenia and anemia, with the necessity for blood transfusion.

[Abscessing lymphadenitis in a 1.5-year-old boy]. / Abscedující lymfadenitida u 1,5 letého chlapce.

At present, Bartonella species are increasingly important as infectious agents in both animals and humans. Bartonella henselae, the most frequently diagnosed species, is known to cause numerous clinical syndromes in both immunocompetent and immunocompromised patients. In healthy individuals, the infection is most commonly manifested as the so-called cat scratch disease. The manifestations include erythema or papule at the point of entry of infection (site of injury) and regional lymphadenitis. The aim of the case report is to present the disease as one of possible causes of colliquative cervical lymphadenitis.