Pulmonary tuberculoma is a rare but challenging entity for paediatricians, regarding diagnosis and management. Treatment course is still up for discussion since tuberculomas may persist after treatment. The authors report two paediatric cases, both recently treated for latent tuberculosis infection, admitted for investigation of a solid pulmonary nodule. In both cases the thoracic CT scan showed a nodular subpleural lesion and the biopsy revealed epithelioid cells with areas of necrosis and calcification. The diagnosis of pulmonary tuberculosis was confirmed in one case by detection of acid-fast bacilli in the smear and in the other by nucleic acid amplification test for M. tuberculosis. The patients presented good response to treatment with antituberculosis drugs, without need for surgical resection. These reports highlight the diagnostic and treatment challenges of this rare entity.
{"title":"Pulmonary tuberculoma: does persistent imaging lesion equals treatment failure?","authors":"Vilma Lopes, Joana Pinho, Maria Adriana Rangel, Tânia Guimarães, Isabel Carvalho","doi":"10.18203/2349-3291.ijcp20233609","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233609","url":null,"abstract":"Pulmonary tuberculoma is a rare but challenging entity for paediatricians, regarding diagnosis and management. Treatment course is still up for discussion since tuberculomas may persist after treatment. The authors report two paediatric cases, both recently treated for latent tuberculosis infection, admitted for investigation of a solid pulmonary nodule. In both cases the thoracic CT scan showed a nodular subpleural lesion and the biopsy revealed epithelioid cells with areas of necrosis and calcification. The diagnosis of pulmonary tuberculosis was confirmed in one case by detection of acid-fast bacilli in the smear and in the other by nucleic acid amplification test for M. tuberculosis. The patients presented good response to treatment with antituberculosis drugs, without need for surgical resection. These reports highlight the diagnostic and treatment challenges of this rare entity.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139232036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233604
Alka, Prabha Kashyap
Background: A newborn baby is a God’s divine precious gift given to a mother. Immediately after birth thermal conditions of newborn dramatically change. Neonates should be nursed within their ‘neutral thermal environment’. Cold stress can cause serious metabolic consequences for all newborns. Health professionals have responsibility to ensure that thermoregulatory needs of the infant. Hence, current study was planned to access and to improve knowledge regarding Thermoregulation of Neonates among B.Sc. Nursing 4th year students. Methods: A pre-experimental one group pre-test post-test research design was used for the study. Total 30 B.Sc. Nursing 4th year students of Sister Nivedita Govt. Nursing College, IGMC Shimla (Himachal Pradesh) was taken as study sample. Convenient sampling technique was used. Ethical approval was taken from institutional ethical committee. A self-structured knowledge questionnaire of 30 questions was used to collect the data. After conducting pre-test, planned teaching programme was provided by using the power point presentation, and knowledge score of both pre-test and post-test was compared. Results: The level of knowledge regarding pre- test and post -test mean scores are 12.43 and 22.03 respectively. Paired t-test calculated value was 16.103 which was much higher than the table value at p<0.001. Conclusions: The study concluded that the Planned teaching programme was effective in increasing the knowledge of B.Sc. nursing 4h year students regarding thermoregulation of neonates.
{"title":"Effectiveness of planned teaching programme on knowledge regarding thermoregulation of neonates among B.Sc. nursing fourth year students of Sister Nivedita Govt. nursing college, IGMC, Shimla, Himachal Pradesh","authors":"Alka, Prabha Kashyap","doi":"10.18203/2349-3291.ijcp20233604","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233604","url":null,"abstract":"Background: A newborn baby is a God’s divine precious gift given to a mother. Immediately after birth thermal conditions of newborn dramatically change. Neonates should be nursed within their ‘neutral thermal environment’. Cold stress can cause serious metabolic consequences for all newborns. Health professionals have responsibility to ensure that thermoregulatory needs of the infant. Hence, current study was planned to access and to improve knowledge regarding Thermoregulation of Neonates among B.Sc. Nursing 4th year students. Methods: A pre-experimental one group pre-test post-test research design was used for the study. Total 30 B.Sc. Nursing 4th year students of Sister Nivedita Govt. Nursing College, IGMC Shimla (Himachal Pradesh) was taken as study sample. Convenient sampling technique was used. Ethical approval was taken from institutional ethical committee. A self-structured knowledge questionnaire of 30 questions was used to collect the data. After conducting pre-test, planned teaching programme was provided by using the power point presentation, and knowledge score of both pre-test and post-test was compared. Results: The level of knowledge regarding pre- test and post -test mean scores are 12.43 and 22.03 respectively. Paired t-test calculated value was 16.103 which was much higher than the table value at p<0.001. Conclusions: The study concluded that the Planned teaching programme was effective in increasing the knowledge of B.Sc. nursing 4h year students regarding thermoregulation of neonates.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139232443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233598
Kiran Araballi, Meenakshi B. Ramanna, Roopa M Bellad
Background: Multiple factors are attributed for the increase in the prevalence of metabolic syndrome (MS) in adolescents. Association of early life factors like birth weight with adolescent MS is not clearly understood. Objectives were to study the association of early life factors with adolescent MS between aged 10- 15 years of Belagavi city. Methods: Study design: Case control Study. Study period: January 2018 to December 2018. Study population: Adolescents of age group, 10 to 15 years from the schools of Belagavi, 400 adolescents (186-cases and controls-214) were enrolled and who were having waist circumference ≥90th percentile for that age and gender were subjected to the laboratory investigations to diagnose MS. Data regarding early life factors like birth weight, gestational age and breast feeding was obtained by parental interview. Results: Overall prevalence as per the international diabetes federation criteria was 11% and a significant difference in the prevalence between cases and controls (15.05% vs 7.48%) (p=0.0160) was observed. Positive association was observed between initiation, exclusivity, and total duration of breast feeding with MS (OD: 3.66, 2.01, 1), indicating no protection of these factors for development of MS. Birth weight had a positive association with MS (OD=7.26). Conclusions: The study showed no protective association between the initiation, exclusivity and the total duration of breastfeeding with MS. However, lower middle SES, family history of hypertension (HTN), central obesity, high BMI, high TG, and low HDL were significantly associated with increased risk of MS.
{"title":"Association of early life factors with metabolic syndrome in school going adolescents of an urban south Indian population: a case control study","authors":"Kiran Araballi, Meenakshi B. Ramanna, Roopa M Bellad","doi":"10.18203/2349-3291.ijcp20233598","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233598","url":null,"abstract":"Background: Multiple factors are attributed for the increase in the prevalence of metabolic syndrome (MS) in adolescents. Association of early life factors like birth weight with adolescent MS is not clearly understood. Objectives were to study the association of early life factors with adolescent MS between aged 10- 15 years of Belagavi city. Methods: Study design: Case control Study. Study period: January 2018 to December 2018. Study population: Adolescents of age group, 10 to 15 years from the schools of Belagavi, 400 adolescents (186-cases and controls-214) were enrolled and who were having waist circumference ≥90th percentile for that age and gender were subjected to the laboratory investigations to diagnose MS. Data regarding early life factors like birth weight, gestational age and breast feeding was obtained by parental interview. Results: Overall prevalence as per the international diabetes federation criteria was 11% and a significant difference in the prevalence between cases and controls (15.05% vs 7.48%) (p=0.0160) was observed. Positive association was observed between initiation, exclusivity, and total duration of breast feeding with MS (OD: 3.66, 2.01, 1), indicating no protection of these factors for development of MS. Birth weight had a positive association with MS (OD=7.26). Conclusions: The study showed no protective association between the initiation, exclusivity and the total duration of breastfeeding with MS. However, lower middle SES, family history of hypertension (HTN), central obesity, high BMI, high TG, and low HDL were significantly associated with increased risk of MS.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139234069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233605
D. Khandelwal, N. Kalra, R. Tyagi, A. Khatri, P. Yangdol
Background: Traumatic dental injury affects many children and adolescents, and it considered a challenging public health problem. Injuries involving permanent teeth are one of the most common types of trauma to the maxillofacial area. The prevalence of traumatic dental injuries varies greatly, and it ranges from 4% to 58% Methods: A cross-sectional survey was carried among 700 school children aged 6 and 12 years in East Delhi. A list of primary and secondary schools of East Delhi area was obtained. A multistage random sampling technique was adopted to select the study population. The children aged 6-12 years with signed consent and in whom permanent anteriors had erupted were included in the study. The oral examination was conducted by a single calibrated examiner using WHO oral health assessment Performa 2013. Results: Overall prevalence was 7.71%. Dental trauma was 1.90%, 10.27% and 10.12% respectively in Group I, Group II and Group III respectively. Female reported with 7.57 % and males with 10.81% (p=0.001). Maxillary Central incisors were found to be the most frequent teeth to be injured. Conclusions: Parents may lack information regarding the consequences of dental trauma and don't report for dental consultation. Along with seeking dental care, patient must be educated about the use of protective mouth guards while playing contact sports which may help to reduce the incidence and severity of dental injuries.
{"title":"Prevalence of dental trauma in permanent anterior teeth in 6-12-year-old children in school going children of East Delhi","authors":"D. Khandelwal, N. Kalra, R. Tyagi, A. Khatri, P. Yangdol","doi":"10.18203/2349-3291.ijcp20233605","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233605","url":null,"abstract":"Background: Traumatic dental injury affects many children and adolescents, and it considered a challenging public health problem. Injuries involving permanent teeth are one of the most common types of trauma to the maxillofacial area. The prevalence of traumatic dental injuries varies greatly, and it ranges from 4% to 58% Methods: A cross-sectional survey was carried among 700 school children aged 6 and 12 years in East Delhi. A list of primary and secondary schools of East Delhi area was obtained. A multistage random sampling technique was adopted to select the study population. The children aged 6-12 years with signed consent and in whom permanent anteriors had erupted were included in the study. The oral examination was conducted by a single calibrated examiner using WHO oral health assessment Performa 2013. Results: Overall prevalence was 7.71%. Dental trauma was 1.90%, 10.27% and 10.12% respectively in Group I, Group II and Group III respectively. Female reported with 7.57 % and males with 10.81% (p=0.001). Maxillary Central incisors were found to be the most frequent teeth to be injured. Conclusions: Parents may lack information regarding the consequences of dental trauma and don't report for dental consultation. Along with seeking dental care, patient must be educated about the use of protective mouth guards while playing contact sports which may help to reduce the incidence and severity of dental injuries.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233613
Dhanraj Selvamani, Bijoy Patra, Suryansh Arora, Shishir Chumber, K. Vani
Alexander disease is a rare, progressive debilitating disorder that affects the nervous system and causes significant neurological problems and developmental delays. The symptoms of Alexander disease vary depending on the type and severity of the disorder, but they typically include developmental delay, intellectual disability, seizures and progressive neurological problems such as spasticity, weakness and ataxia. The proband is a case of a 9-month-old boy presenting with macrocephaly and neuroregression. Magnetic resonance imaging (MRI) revealed hyperintense signal in white matter with predominant involvement of frontal white matter, ventriculomegaly and involvement of basal ganglia, brainstem and cerebellum. The diagnosis was confirmed on genetic analysis. Alexander’s disease is a rare neurodegenerative condition that characteristically presents with macrocephaly and high T2 signal in frontal white matter in infants.
{"title":"Infantile Alexander’s disease","authors":"Dhanraj Selvamani, Bijoy Patra, Suryansh Arora, Shishir Chumber, K. Vani","doi":"10.18203/2349-3291.ijcp20233613","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233613","url":null,"abstract":"Alexander disease is a rare, progressive debilitating disorder that affects the nervous system and causes significant neurological problems and developmental delays. The symptoms of Alexander disease vary depending on the type and severity of the disorder, but they typically include developmental delay, intellectual disability, seizures and progressive neurological problems such as spasticity, weakness and ataxia. The proband is a case of a 9-month-old boy presenting with macrocephaly and neuroregression. Magnetic resonance imaging (MRI) revealed hyperintense signal in white matter with predominant involvement of frontal white matter, ventriculomegaly and involvement of basal ganglia, brainstem and cerebellum. The diagnosis was confirmed on genetic analysis. Alexander’s disease is a rare neurodegenerative condition that characteristically presents with macrocephaly and high T2 signal in frontal white matter in infants.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139230174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233611
Aniruddha Basak, Sathi Dhar, Niladri Sekhar Dey
Gastroschisis is a congenital defect of the anterior abdominal wall in which the intestines and other abdominal organs, protrude from the abdomen through a small hole. In recent years rates of Gastroschisis have been increasing. Most of cases it is an isolated defect or associated with other anomalies. Ultrasonography can detect it within 14 weeks after physiological herniation. Gastroschisis and omphalocele are two defect that closely resemble each other. In this case, we discuss a newborn baby with gastroschisis being successfully managed and was discharged in healthy condition 21days later.
{"title":"Successful management of Gastroschisis baby at Tripura medical college and Dr. BRAM teaching hospital: a rare case report","authors":"Aniruddha Basak, Sathi Dhar, Niladri Sekhar Dey","doi":"10.18203/2349-3291.ijcp20233611","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233611","url":null,"abstract":"Gastroschisis is a congenital defect of the anterior abdominal wall in which the intestines and other abdominal organs, protrude from the abdomen through a small hole. In recent years rates of Gastroschisis have been increasing. Most of cases it is an isolated defect or associated with other anomalies. Ultrasonography can detect it within 14 weeks after physiological herniation. Gastroschisis and omphalocele are two defect that closely resemble each other. In this case, we discuss a newborn baby with gastroschisis being successfully managed and was discharged in healthy condition 21days later.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233614
Radhapyari Lourembam, Rahees V. K., Shyamsunder Singh C.
Dengue fever is one of the common viral infections in tropical areas, especially in India. Though classically non-neurotropic in nature, recent literature has documented dengue viral neurotropism, suggesting possible elements of direct encephalitis. However, limited reports are available in paediatric age groups. Here we report a case of dengue encephalitis in a 3-year 6 months-old male child from Imphal, Manipur, India who presented with a history of fever, altered sensorium, and seizures. The anti-dengue immunoglobulin M antibodies were positive in serum. Cerebrospinal fluid analysis showed lymphocytic pleocytosis with elevated proteins and normal glucose. Neuroimaging was unremarkable. We also ruled out other causes of encephalitis by appropriate investigations. Our case did not have the typical salient features of dengue fever and recovered fully with the supportive treatment on time. The case highlights that dengue encephalitis may present even in the absence of neuroimaging findings and classical clinical signs of dengue fever. Hence, dengue encephalitis should be suspected in a child with fever with altered sensorium and seizures, especially in areas where dengue fever is endemic.
登革热是热带地区（尤其是印度）常见的病毒感染之一。虽然登革热通常不引起神经系统反应，但最近的文献记录了登革热病毒引起的神经系统反应，表明可能存在直接脑炎的因素。然而，关于儿科年龄组的报道有限。在此，我们报告了一例来自印度曼尼普尔邦英帕尔的登革热脑炎病例，患儿为 3 岁 6 个月大的男性，病史为发热、感觉改变和抽搐。血清中抗登革热免疫球蛋白 M 抗体呈阳性。脑脊液分析显示淋巴细胞增多，蛋白质升高，葡萄糖正常。神经影像学检查无异常。我们还通过适当的检查排除了脑炎的其他病因。我们的病例没有登革热的典型突出特征，而且在及时接受支持性治疗后完全康复。该病例表明，即使没有神经影像学检查结果和典型的登革热临床症状，也可能出现登革脑炎。因此，如果患儿发热并伴有感觉改变和抽搐，应怀疑登革热脑炎，尤其是在登革热流行的地区。
{"title":"Dengue encephalitis as a sole presentation of dengue fever in a child, is it a separate clinical entity?","authors":"Radhapyari Lourembam, Rahees V. K., Shyamsunder Singh C.","doi":"10.18203/2349-3291.ijcp20233614","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233614","url":null,"abstract":"Dengue fever is one of the common viral infections in tropical areas, especially in India. Though classically non-neurotropic in nature, recent literature has documented dengue viral neurotropism, suggesting possible elements of direct encephalitis. However, limited reports are available in paediatric age groups. Here we report a case of dengue encephalitis in a 3-year 6 months-old male child from Imphal, Manipur, India who presented with a history of fever, altered sensorium, and seizures. The anti-dengue immunoglobulin M antibodies were positive in serum. Cerebrospinal fluid analysis showed lymphocytic pleocytosis with elevated proteins and normal glucose. Neuroimaging was unremarkable. We also ruled out other causes of encephalitis by appropriate investigations. Our case did not have the typical salient features of dengue fever and recovered fully with the supportive treatment on time. The case highlights that dengue encephalitis may present even in the absence of neuroimaging findings and classical clinical signs of dengue fever. Hence, dengue encephalitis should be suspected in a child with fever with altered sensorium and seizures, especially in areas where dengue fever is endemic.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Crown fracture is most reported dental injury in maxillary anterior region with uncomplicated crown fractures in anterior region are most involved in adolescents and children. A 10-year-old boy reported to the Department of Paediatric and Preventive Dentistry with a chief complaint of fractured upper left front tooth region and gave history of fall 2 hours back and he was carrying a fractured fragment along with him. Clinical and radiographical examinations revealed Ellis class II fracture in maxillary left anterior region. After considering all other treatment options fractured fragment re-attachment with light cure composite resin was finalized as a treatment option.
{"title":"Biologic approach for fragment reattachment: a case report","authors":"Ambika Joshi, Nikhil Marwah, Mrunal Bandiwar, Harsha Patni, Vritika Singh","doi":"10.18203/2349-3291.ijcp20233612","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233612","url":null,"abstract":"Crown fracture is most reported dental injury in maxillary anterior region with uncomplicated crown fractures in anterior region are most involved in adolescents and children. A 10-year-old boy reported to the Department of Paediatric and Preventive Dentistry with a chief complaint of fractured upper left front tooth region and gave history of fall 2 hours back and he was carrying a fractured fragment along with him. Clinical and radiographical examinations revealed Ellis class II fracture in maxillary left anterior region. After considering all other treatment options fractured fragment re-attachment with light cure composite resin was finalized as a treatment option.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139229695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233610
Kshitij Saurabh, R. Rai, D. K. Singh
Neonatal septicemia continues to be a significant cause of neonatal morbidity and mortality. Acute otitis media may be associated with sepsis, though the association is not very common. Facial nerve palsy is a rare complication of otitis media in neonates. Other more common causes of facial nerve palsy are traumatic (birth trauma) and idiopathic (Bell’s palsy). Through this article, we report a rare case of facial nerve palsy secondary to otitis media in a neonate with sepsis.
{"title":"Facial nerve palsy in a neonate secondary to acute otitis media","authors":"Kshitij Saurabh, R. Rai, D. K. Singh","doi":"10.18203/2349-3291.ijcp20233610","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233610","url":null,"abstract":"Neonatal septicemia continues to be a significant cause of neonatal morbidity and mortality. Acute otitis media may be associated with sepsis, though the association is not very common. Facial nerve palsy is a rare complication of otitis media in neonates. Other more common causes of facial nerve palsy are traumatic (birth trauma) and idiopathic (Bell’s palsy). Through this article, we report a rare case of facial nerve palsy secondary to otitis media in a neonate with sepsis.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139230384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27DOI: 10.18203/2349-3291.ijcp20233606
Aneeta Chaudhary, Arun Kumar Arya, T. Midha
Background: Congenital heart diseases are a major cause of mortality and morbidity in children. The aim of the study was to know the spectrum of congenital heart diseases in a tertiary care centre. Methods: This was a prospective, hospital based observational study done in Lala Lajpat Rai Hospital, Kanpur. Duration of study was 12 months. Patients with strong clinical suspicion of cardiac disease were enrolled and detailed clinical examination and laboratory findings of these cases were noted in a pre-structured proforma. The confirmation of presence of congenital heart disease was done by echocardiography. Results: 150 patients aged below 5 years presenting with signs and symptoms suggestive of CHD were evaluated in this study. 91 were found to have congenital heart disease. We found VSD in 31.87%, ASD in 29.98%, PDA in 9.9% TOF in 5.49% and complex heart diseases in 16.48% cases. When considering the age at presentation, we found maximum number of cases (46.15%) in 1 to 12 months of age, 37.37% cases in neonatal period, 16.48% cases in 1 to 5 years of age. Most common presenting complaint was difficulty in breathing, followed by feeding difficulty. Conclusions: Ventricular septal defect 31.87% was the commonest heart disease, followed by ASD 29.98%. The majority of these patients were seen in the age group 1 to 12 months of age.
{"title":"Spectrum of congenital heart diseases in children (<5 years) in a tertiary care centre","authors":"Aneeta Chaudhary, Arun Kumar Arya, T. Midha","doi":"10.18203/2349-3291.ijcp20233606","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20233606","url":null,"abstract":"Background: Congenital heart diseases are a major cause of mortality and morbidity in children. The aim of the study was to know the spectrum of congenital heart diseases in a tertiary care centre. Methods: This was a prospective, hospital based observational study done in Lala Lajpat Rai Hospital, Kanpur. Duration of study was 12 months. Patients with strong clinical suspicion of cardiac disease were enrolled and detailed clinical examination and laboratory findings of these cases were noted in a pre-structured proforma. The confirmation of presence of congenital heart disease was done by echocardiography. Results: 150 patients aged below 5 years presenting with signs and symptoms suggestive of CHD were evaluated in this study. 91 were found to have congenital heart disease. We found VSD in 31.87%, ASD in 29.98%, PDA in 9.9% TOF in 5.49% and complex heart diseases in 16.48% cases. When considering the age at presentation, we found maximum number of cases (46.15%) in 1 to 12 months of age, 37.37% cases in neonatal period, 16.48% cases in 1 to 5 years of age. Most common presenting complaint was difficulty in breathing, followed by feeding difficulty. Conclusions: Ventricular septal defect 31.87% was the commonest heart disease, followed by ASD 29.98%. The majority of these patients were seen in the age group 1 to 12 months of age.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139230955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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