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Pediatrics in review最新文献

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Osgood-Schlatter and Sever Diseases. Osgood-Schlatter 和 Sever 疾病。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-07-01 DOI: 10.1542/pir.2023-006037
Lisa Yun, Daniel M Fein
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引用次数: 0
Acute Odynophagia in an 11-year-old Girl. 一名 11 岁女孩的急性吞咽困难。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-07-01 DOI: 10.1542/pir.2021-005479
Daley Auvil, Melissa Buryk, Justin DeVito
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引用次数: 0
A Review of Syphilis Infection in Pediatric Patients. 小儿梅毒感染回顾。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-07-01 DOI: 10.1542/pir.2023-006309
Emily J Labudde, Jane Lee

Nearly half of all sexually transmitted infections occur in adolescents and young adults. Among them, syphilis infections are on the rise in the United States. Sexually active adolescents, especially those who do not use condoms consistently or are men who have sex with men, are at particular risk for syphilis infection. With the rise in acquired syphilis infections, the incidence of congenital syphilis has also increased. Syphilis can have a variety of presentations based on infectious stage and central nervous system involvement. Careful physical examination and history can elicit the diagnosis. Screening with a nontreponemal test followed by treponemal testing can confirm the diagnosis, and staging is determined clinically. Testing for all sexually transmitted infections should be pursued because coinfections are common. Penicillin is the first-line treatment for syphilis, and duration of therapy depends on the presence of neurologic symptoms; all infants with possible congenital syphilis should receive treatment. Posttreatment monitoring is essential to confirm successful eradication of syphilis. All sexually active, at-risk patients, including pregnant persons, should be screened for syphilis, and those diagnosed as having syphilis should be counseled on disclosure to partners. Although not often found in a pediatric population, with the increasing incidence of syphilis infections in the United States, pediatric providers should have a low threshold for syphilis screening in adolescents and a high index of suspicion for congenital syphilis in infants.

近一半的性传播感染发生在青少年和年轻人身上。其中,梅毒感染在美国呈上升趋势。性生活活跃的青少年,尤其是那些不坚持使用安全套或男男性行为者,感染梅毒的风险尤其高。随着获得性梅毒感染的增加,先天性梅毒的发病率也有所上升。根据感染阶段和中枢神经系统受累情况,梅毒可有多种表现。仔细的体格检查和病史可以明确诊断。通过非抗梅毒试验进行筛查,然后再进行抗梅毒试验,可确诊梅毒,并根据临床情况确定梅毒的分期。由于合并感染很常见,因此应进行所有性传播感染的检测。青霉素是梅毒的一线治疗药物,疗程取决于是否出现神经系统症状;所有可能患有先天性梅毒的婴儿都应接受治疗。治疗后的监测对于确认梅毒的成功根除至关重要。所有性生活活跃的高危患者,包括孕妇,都应接受梅毒筛查,确诊患有梅毒的患者应向伴侣说明情况。虽然梅毒在儿科人群中并不常见,但随着美国梅毒感染率的不断上升,儿科医疗人员对青少年梅毒筛查的门槛应降低,对婴儿先天性梅毒的怀疑指数应提高。
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引用次数: 0
Advocacy and Child Health Outcomes: Do Child Health Professionals Realize Their Opportunities? 宣传与儿童健康成果:儿童保健专业人员是否意识到自己的机会?
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-07-01 DOI: 10.1542/pir.2023-006103
Dave Tayloe
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引用次数: 0
Case 1: A Case of Decreased Feeding and Lethargy in an 8-week-old Boy. 病例 1:一名 8 周大男婴进食减少和嗜睡的病例。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2022-005910
Carly Byrd, Dawn B Lammert, Erica Prochaska, Sophie Cai
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引用次数: 0
Hypotonia and Poor Weight Gain in a 4-month-old Girl. 一名 4 个月大的女童肌张力不足,体重增长缓慢。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2021-005379
Michelle Meder, Hannah Jelley, Irene Kocolas, Dania Al-Hamad
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引用次数: 0
A Hyponatremic Seizure in an Adolescent. 一名青少年的低钠血症发作。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2022-005706
Julianna Lau, Elizabeth Landzberg, Kumaran Senthil
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引用次数: 0
Case 3: Poor Weight Gain in a 4-month-old Girl. 病例 3:4 个月大的女孩体重增加缓慢。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2022-005582
Patrick Tiffany, Savannah Brackman, Stephanie P Gilley, W Aaron Manning
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引用次数: 0
Case 2: Poor Weight Gain in a 9-month-old Girl. 病例 2:9 个月大的女孩体重增加缓慢。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2022-005524
Michelle H Talukder, Daiji Takajo, Sushma Kakkerala, Banu Kumar
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引用次数: 0
Atypical Case of Toe-Walking and Hyperpigmented Rash in a 9-year-old Boy. 一名 9 岁男孩脚趾行走和色素沉着性皮疹的非典型病例。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-06-01 DOI: 10.1542/pir.2022-005761
Maria Barajas-McGahan, Lynnia Tuckfield, Kerrilynn Rice, Reshma Patel
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引用次数: 0
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