RESUMO
Despite good prevention, congenital syphilis still occurs: the incidence in 1981-1986 was 9 in six years. In this case history an infant with osteomyelitis, due to congenital syphilis, is discussed. This article also gives a review of symptoms, diagnosis, therapy and follow-up after treatment. The best method for diagnosis is the 19S-IgM-FTA-absorption test in serum. Treatment concerns the pediatrician, as well as the orthopaedic surgeon, the neurologist, the dermatologist and the ophthalmologist, cooperating as an interdisciplinary team.
Assuntos
Osteólise/etiologia , Rádio (Anatomia) , Sífilis Congênita/complicações , Humanos , Lactente , Masculino , Penicilinas/uso terapêutico , Sorodiagnóstico da Sífilis/métodos , Sífilis Congênita/tratamento farmacológicoRESUMO
A full term neonate in which by accident a metabolic alkalosis was found, is described. The origin of the metabolic alkalosis was excessive vomiting by the mother during the days prior to delivery. The simplified form of the Henderson Hasselbalch equation is used to describe the factors responsible for the generation of metabolic alkalosis. Consequences for the neonate are mentioned, especially the vasoconstriction of the cerebral vessels is discussed. Treatment should be rehydration and administration of sodium-chloride.
Assuntos
Alcalose/sangue , Cloretos/sangue , Complicações na Gravidez , Vômito/complicações , Adulto , Alcalose/etiologia , Feminino , Humanos , Hiperventilação/complicações , Recém-Nascido , Troca Materno-Fetal , GravidezRESUMO
The histories of two Moroccan sisters with pulmonary alveolar microlithiasis are described. Two years follow-up is available. The elder girl has no complaints, her two years younger sister becomes dyspnoeic on exercise. Pulmonary alveolar microlithiasis is a rare condition, which occurs mostly as a familiary disease. On pathologic examination characteristic calcifications are found in the alveoli. The radiographic picture of the chest is quite typical. A short review of the literature is presented.