Background: Respiratory diseases are one of the major causes of childhood morbidity and mortality in Bangladesh. It is also a leading cause of hospital admission. The aim of this study is to analyze the pattern of respiratory disease admissions in a tertiary care hospital in a developing country. Methods: We carried out a retrospective study on patients that presented with respiratory condition from January 2016 to December 2016.The medical records of patients admitted in the department of pediatric respiratory medicine unit (Pulmonology) over one-year period were reviewed. Information obtained included demography, diagnosis, mean duration of hospital stay and outcome of illness. Results: Total 21 types of respiratory illness were categorized. The male to female patients ratio was 1.3:1. Among the patients 76.4% were less than five years old, 21.07% were between 5 and 9.9 years old, while 2.45% were 10 years and above. Pneumonia (54.41%) was the most common cases seen, followed by bronchiolitis (21.07%), PTB (2.94%), acute asthma (2.45%), pleural effusion (1.96%) and disseminated TB (1.96%). The median duration of admission was 12.9 days. Majority (93.6%) of admitted cases were discharged with advise, death was recorded in 2 (0.98%) children.Deaths occurred in children less than 5 years old, one with Bronchiolitis Obliterans Organizing Pneumonia and another with Tuberculosis. Conclusion: Pneumonia, bronchiolitis and TB were the leading respiratory diseases among children admitted in Dhaka Shishu Hospital. DS (Child) H J 2018; 34(1) : 36-40
{"title":"Pattern and Outcome of Respiratory Disease in Dhaka Shishu Hospital: A One Year Analysis","authors":"Nazia Hossain, Akhand Tanzih Sultana, Kamruzzaman Kamrul, Md Shakibur Rahman, Md. Ruhul Amin","doi":"10.3329/dshj.v34i1.51824","DOIUrl":"https://doi.org/10.3329/dshj.v34i1.51824","url":null,"abstract":"Background: Respiratory diseases are one of the major causes of childhood morbidity and mortality in Bangladesh. It is also a leading cause of hospital admission. The aim of this study is to analyze the pattern of respiratory disease admissions in a tertiary care hospital in a developing country. \u0000Methods: We carried out a retrospective study on patients that presented with respiratory condition from January 2016 to December 2016.The medical records of patients admitted in the department of pediatric respiratory medicine unit (Pulmonology) over one-year period were reviewed. Information obtained included demography, diagnosis, mean duration of hospital stay and outcome of illness. \u0000Results: Total 21 types of respiratory illness were categorized. The male to female patients ratio was 1.3:1. Among the patients 76.4% were less than five years old, 21.07% were between 5 and 9.9 years old, while 2.45% were 10 years and above. Pneumonia (54.41%) was the most common cases seen, followed by bronchiolitis (21.07%), PTB (2.94%), acute asthma (2.45%), pleural effusion (1.96%) and disseminated TB (1.96%). The median duration of admission was 12.9 days. Majority (93.6%) of admitted cases were discharged with advise, death was recorded in 2 (0.98%) children.Deaths occurred in children less than 5 years old, one with Bronchiolitis Obliterans Organizing Pneumonia and another with Tuberculosis. \u0000Conclusion: Pneumonia, bronchiolitis and TB were the leading respiratory diseases among children admitted in Dhaka Shishu Hospital. \u0000DS (Child) H J 2018; 34(1) : 36-40","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117269475","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 : 2021-02-03DOI: 10.3329/dshj.v34i1.51830
R. K. Biswas, S. Biswas, -. Md Benzamin, M. Mazumder, A. Karim
Abstract not available DS (Child) H J 2018; 34(1) : 55-58
摘要:未得到DS(儿童)[J] 2018;34(1): 55-58
{"title":"Jejunal Duplication Cyst - a Rare Cause of Massive Gastrointestinal Bleeding: A Case Report","authors":"R. K. Biswas, S. Biswas, -. Md Benzamin, M. Mazumder, A. Karim","doi":"10.3329/dshj.v34i1.51830","DOIUrl":"https://doi.org/10.3329/dshj.v34i1.51830","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2018; 34(1) : 55-58","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"541 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116397633","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 : 2021-02-03DOI: 10.3329/dshj.v34i1.51825
K. Kabir, K. Ferdous, F. Hossain, M. Islam
Background: Infantile haemangiomas (IH) are the most common tumors ofinfancy with an incidence of >2% of infants in general, and of 10% of Caucasian children, in particular. Objective: The aim of this study was to assess the efficacy and safety of atenolol in the treatment of proliferating IHs. Methods: This prospective study was conducted among 120 patients’ up to 30 months of age, clinically diagnosed with IH’s in surgical outpatient department (SOPD) of the Dhaka Shishu Hospital from July 2013 to March 2018. Atenolol was started initially 0.5mg/kg. Then doses were titrated according to clinical response (0.5- 3mg/kg/day OD). Parents were instructed to interrupt the administration of the drug if the child had a serious cough with dysponea or gastroenteritis with vomiting or diarrhoea. Patients’ were advised to come for follow up visit and in each follow up blood pressure, percentage of regression (of size), color change, complications were recorded. The change in the appearance of IH was evaluated on a visual analogue scale (VAS). Regression in the size and color clearance of IHs were evaluated according to 0%-to-100% scale. Results: Majority of the babies were from 1-10 months age group. Most of the infants were term babies and majority of the infants were girls. Majority of the IHs were located in head and neck regions. Majority of the mothers had multiple gestation pregnancy and few had family history of IH. Excellent, good and fair colour regression was found in 74.17%, 22.50% and 3.33% participants respectively. Excellent, good and fair size regression was found in 57.50%, 38.33% and 4.17% participants respectively. Adverse effects of drug like loose motion (7.50%) and sleep disturbance (3.33%) were found among the participants. DS (Child) H J 2018; 34(1) : 26-29
{"title":"Oral Atenolol Therapy in the Treatment of Infantile Hemangioma: A Prospective Study","authors":"K. Kabir, K. Ferdous, F. Hossain, M. Islam","doi":"10.3329/dshj.v34i1.51825","DOIUrl":"https://doi.org/10.3329/dshj.v34i1.51825","url":null,"abstract":"Background: Infantile haemangiomas (IH) are the most common tumors ofinfancy with an incidence of >2% of infants in general, and of 10% of Caucasian children, in particular. \u0000Objective: The aim of this study was to assess the efficacy and safety of atenolol in the treatment of proliferating IHs. \u0000Methods: This prospective study was conducted among 120 patients’ up to 30 months of age, clinically diagnosed with IH’s in surgical outpatient department (SOPD) of the Dhaka Shishu Hospital from July 2013 to March 2018. Atenolol was started initially 0.5mg/kg. Then doses were titrated according to clinical response (0.5- 3mg/kg/day OD). Parents were instructed to interrupt the administration of the drug if the child had a serious cough with dysponea or gastroenteritis with vomiting or diarrhoea. Patients’ were advised to come for follow up visit and in each follow up blood pressure, percentage of regression (of size), color change, complications were recorded. The change in the appearance of IH was evaluated on a visual analogue scale (VAS). Regression in the size and color clearance of IHs were evaluated according to 0%-to-100% scale. \u0000Results: Majority of the babies were from 1-10 months age group. Most of the infants were term babies and majority of the infants were girls. Majority of the IHs were located in head and neck regions. Majority of the mothers had multiple gestation pregnancy and few had family history of IH. Excellent, good and fair colour regression was found in 74.17%, 22.50% and 3.33% participants respectively. Excellent, good and fair size regression was found in 57.50%, 38.33% and 4.17% participants respectively. Adverse effects of drug like loose motion (7.50%) and sleep disturbance (3.33%) were found among the participants. \u0000DS (Child) H J 2018; 34(1) : 26-29","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133716067","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 : 2021-02-03DOI: 10.3329/dshj.v34i1.51831
Md. Mizanur Rahman, A. T. Bhuiyan, M. A. Islam
Abstract not available DS (Child) H J 2018; 34(1) : 59-62
摘要:未得到DS(儿童)[J] 2018;34(1): 59-62
{"title":"Cutis Laxa Syndrome: A Rare Genetic Disorder of Elastolysis","authors":"Md. Mizanur Rahman, A. T. Bhuiyan, M. A. Islam","doi":"10.3329/dshj.v34i1.51831","DOIUrl":"https://doi.org/10.3329/dshj.v34i1.51831","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2018; 34(1) : 59-62","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132967758","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 : 2021-01-28DOI: 10.3329/dshj.v35i1.51711
Md Abdus Sattar, Muhammad Rashedul Alam, Md. Rayhanur Rahman, P. Palit, M. Haque, M. Abedin, M. K. Islam, Md. Abdul Aziz
Background: Hirschsprung’s disease is a common cause of neonatal & infantile intestinal obstruction. The confirmed diagnosis of HD depends on histopathological demonstration of the complete absence of ganglion cells with the presence of hypertrophied nerve fibers in the distal bowel. So, rectal biopsy is the gold standard for diagnosis of HD no dought. Objectives: This study is an attempt to see the comparision between punch and fullthickness rectal biopsy to find out a low cost, easily performed technique with accurate histopathological results for diagnosis of HD, specially for poor and developing countries of the world. Methods: This was a cross sectional comparative study. Total 50 patients of suspected Hirschsprung’s disease were included in this study after fulfillment of inclusion criteria from November 2010 to March 2012 at Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. Results: Out of 25 cases, 17 were diagnosed as having HD in punch biopsy but in case of full-thickness rectal biopsy out of 25 cases 20 were diagnosed as having HD. The sensitivity was 80% and positive predictive value was 94.11% of punch rectal biopsy in relation to full-thickness rectal biopsy. Operation time was less in punch rectal biopsy (14 minutes) than full-thickness rectal biopsy (20.5 minutes). Cost was less in punch rectal biopsy (1850 taka) than full-thickness rectal biopsy (3500 taka). Post procedure hemorrhage occurred 1 case in punch rectal biopsy, whereas 2 cases occurred in full-thickness rectal biopsy. No perforation occurred in case of punch biopsy but 1 case developed perforation in full-thickness rectal biopsy. Conclusion: Punch rectal biopsy for diagnosis of HD is advantageous over fullthickness rectal biopsy in the form of less time, less cost, less complication but diagnostic efficacy is almost similar. DS (Child) H J 2019; 35(1) : 42-47
{"title":"Punch and Full-thickness Rectal Biopsy in Diagnosis of Hirschsprung’s Disease: A Comparative Study","authors":"Md Abdus Sattar, Muhammad Rashedul Alam, Md. Rayhanur Rahman, P. Palit, M. Haque, M. Abedin, M. K. Islam, Md. Abdul Aziz","doi":"10.3329/dshj.v35i1.51711","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51711","url":null,"abstract":"Background: Hirschsprung’s disease is a common cause of neonatal & infantile intestinal obstruction. The confirmed diagnosis of HD depends on histopathological demonstration of the complete absence of ganglion cells with the presence of hypertrophied nerve fibers in the distal bowel. So, rectal biopsy is the gold standard for diagnosis of HD no dought. \u0000Objectives: This study is an attempt to see the comparision between punch and fullthickness rectal biopsy to find out a low cost, easily performed technique with accurate histopathological results for diagnosis of HD, specially for poor and developing countries of the world. \u0000Methods: This was a cross sectional comparative study. Total 50 patients of suspected Hirschsprung’s disease were included in this study after fulfillment of inclusion criteria from November 2010 to March 2012 at Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. \u0000Results: Out of 25 cases, 17 were diagnosed as having HD in punch biopsy but in case of full-thickness rectal biopsy out of 25 cases 20 were diagnosed as having HD. The sensitivity was 80% and positive predictive value was 94.11% of punch rectal biopsy in relation to full-thickness rectal biopsy. Operation time was less in punch rectal biopsy (14 minutes) than full-thickness rectal biopsy (20.5 minutes). Cost was less in punch rectal biopsy (1850 taka) than full-thickness rectal biopsy (3500 taka). Post procedure hemorrhage occurred 1 case in punch rectal biopsy, whereas 2 cases occurred in full-thickness rectal biopsy. No perforation occurred in case of punch biopsy but 1 case developed perforation in full-thickness rectal biopsy. \u0000Conclusion: Punch rectal biopsy for diagnosis of HD is advantageous over fullthickness rectal biopsy in the form of less time, less cost, less complication but diagnostic efficacy is almost similar. \u0000DS (Child) H J 2019; 35(1) : 42-47","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128546585","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 : 2021-01-28DOI: 10.3329/dshj.v35i1.51719
-. Md Kamruzzaman, Kanta Halder, Ashikur Zaman, Gulshan Akter
Abstract not available DS (Child) H J 2019; 35(1) : 74-76
摘要:未得到DS (Child) [J] 2019;35(1): 74-76
{"title":"Hermanski-Pudlak Syndrome with Cystic Fibrosis: A Case Report","authors":"-. Md Kamruzzaman, Kanta Halder, Ashikur Zaman, Gulshan Akter","doi":"10.3329/dshj.v35i1.51719","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51719","url":null,"abstract":"Abstract not available \u0000DS (Child) H J 2019; 35(1) : 74-76","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115800879","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 : 2021-01-28DOI: 10.3329/dshj.v35i1.51717
P. Sarkar, Md Jahangir Alam
Tomography is a process by which an image layer of the body is produced, while the images of the structures above and below that layer are made invisible by blurring. computed tomography (CT), the most widely used cross-sectional imaging methods used in medicine, forms cross-sectional images by avoiding super-imposition of structures that occurs in conventional chest imaging, with a >10-fold increase in attenuation sensitivity, within a second without need for breath holding. Like X-ray, an imaging contrast is generated as a consequence of differences in attenuation between the adjacent tissues. The higher the attenuation of the X-ray beam, the brighter the tissue on CT images, and vice versa. The only drawback is the potentially harmful radiation that is measured according to the amount of radiation received by the whole body. Simply, the amount of radiation from a chest CT is equivalent to 400 X-rays. Standard CT usually takes the image of the whole lung and compresses thick slices of about 7-10 mm into images and contrast can be given to highlight structures. High resolution (HRCT) has excellent spatial resolution and very useful for assessing the architecture of the lung. It does not involve IV contrast, acquires thin, non-contiguous slices, at 10-15 mm intervals with thin slices of lung tissues at regular intervals. This reduces the radiation dose by up to 90% compared to standard CT. The axial images are most commonly viewed using lung, mediastinal and bone window. The pulmonary window is specially used for the interpretation of lung parenchyma, airways and interstitial tissues but the mediastinal window is for the interpretation of mediastinal structures. CT interpretation needs a structured and logical approach. DS (Child) H J 2019; 35(1) : 63-69
{"title":"Computed Tomography of the Chest: Basic Principles","authors":"P. Sarkar, Md Jahangir Alam","doi":"10.3329/dshj.v35i1.51717","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51717","url":null,"abstract":"Tomography is a process by which an image layer of the body is produced, while the images of the structures above and below that layer are made invisible by blurring. computed tomography (CT), the most widely used cross-sectional imaging methods used in medicine, forms cross-sectional images by avoiding super-imposition of structures that occurs in conventional chest imaging, with a >10-fold increase in attenuation sensitivity, within a second without need for breath holding. Like X-ray, an imaging contrast is generated as a consequence of differences in attenuation between the adjacent tissues. The higher the attenuation of the X-ray beam, the brighter the tissue on CT images, and vice versa. The only drawback is the potentially harmful radiation that is measured according to the amount of radiation received by the whole body. Simply, the amount of radiation from a chest CT is equivalent to 400 X-rays. Standard CT usually takes the image of the whole lung and compresses thick slices of about 7-10 mm into images and contrast can be given to highlight structures. High resolution (HRCT) has excellent spatial resolution and very useful for assessing the architecture of the lung. It does not involve IV contrast, acquires thin, non-contiguous slices, at 10-15 mm intervals with thin slices of lung tissues at regular intervals. This reduces the radiation dose by up to 90% compared to standard CT. The axial images are most commonly viewed using lung, mediastinal and bone window. The pulmonary window is specially used for the interpretation of lung parenchyma, airways and interstitial tissues but the mediastinal window is for the interpretation of mediastinal structures. CT interpretation needs a structured and logical approach. \u0000DS (Child) H J 2019; 35(1) : 63-69","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126621044","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 : 2021-01-28DOI: 10.3329/dshj.v35i1.51718
M. Mamun, M. Hussain
Neonatal myocarditis is a rare and life-threatening disease with clinical symptoms suggesting bacterial sepsis, accompanied by congestive heart failure, cardiogenic shock and arrhythmias. Enteroviruses and adenoviruses are the most frequent pathogens isolated in myocarditis in neonate. Due to extensive myocyte necrosis in the left ventricle, symptoms may mimic myocardial infarction and circulatory collapse. The diagnosis is suggested by an ischaemic electrocardiogram, raised cardiac enzymes and left ventricular dysfunction. These infants are best managed by early recognition of heart failure, avoidance of hypotension and transfer to an ECMO center. No specific antiviral treatment exists for neonatal myocarditis. Even in the presence of sufficient respiratory and circulatory support, the mortality among neonates with viral myocarditis is high. Majority of survivors develop serious cardiac sequelae. Since neonatal myocarditis is a devastating disease and is not often in the differential diagnosis of neonatal collapse, clinicians should keep a high index of suspicion. DS (Child) H J 2019; 35(1) : 70-73
{"title":"Neonatal Myocarditis: A Review","authors":"M. Mamun, M. Hussain","doi":"10.3329/dshj.v35i1.51718","DOIUrl":"https://doi.org/10.3329/dshj.v35i1.51718","url":null,"abstract":"Neonatal myocarditis is a rare and life-threatening disease with clinical symptoms suggesting bacterial sepsis, accompanied by congestive heart failure, cardiogenic shock and arrhythmias. Enteroviruses and adenoviruses are the most frequent pathogens isolated in myocarditis in neonate. Due to extensive myocyte necrosis in the left ventricle, symptoms may mimic myocardial infarction and circulatory collapse. The diagnosis is suggested by an ischaemic electrocardiogram, raised cardiac enzymes and left ventricular dysfunction. These infants are best managed by early recognition of heart failure, avoidance of hypotension and transfer to an ECMO center. No specific antiviral treatment exists for neonatal myocarditis. Even in the presence of sufficient respiratory and circulatory support, the mortality among neonates with viral myocarditis is high. Majority of survivors develop serious cardiac sequelae. Since neonatal myocarditis is a devastating disease and is not often in the differential diagnosis of neonatal collapse, clinicians should keep a high index of suspicion. \u0000DS (Child) H J 2019; 35(1) : 70-73","PeriodicalId":364860,"journal":{"name":"Dhaka Shishu (Children) Hospital Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123888780","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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