Maria Barca, M. Boccia, Marta Improta, V. Discepolo
Coeliac Crisis is an urgent and potentially fatal complication of Coeliac Disease (CeD), which is most frequent in early childhood. The crisis may occur at onset or develop in CeD patients with poor compliance to the gluten-free diet (GFD). Stress, surgery and infections can act as triggers. The diagnosis is based on the acute onset of rapidly progressive diarrhoea associated with at least two conditions among severe dehydration, metabolic acidosis, dyselectrolytemia, renal dysfunction, neurological alterations, hypoproteinemia and weight loss. Haematological manifestations, such as thrombocytopenia, increased INR, aplastic anaemia and leukopenia, are rare. The cornerstones of therapy are intravenous rehydration, correction of hypoalbuminemia, acidosis and dyshionemia along with a strict GFD. Steroids may be also used in refractory cases. The paper describes a recent case of a patient presenting with a severe life-threatening coeliac crisis characterized by inability to walk due to lower limb weakness, severe abdominal distension, diarrhoea and peripheral oedema.
{"title":"Crisi celiaca: una complicanza rara e insidiosa della celiachia","authors":"Maria Barca, M. Boccia, Marta Improta, V. Discepolo","doi":"10.53126/mebxxviia59","DOIUrl":"https://doi.org/10.53126/mebxxviia59","url":null,"abstract":"Coeliac Crisis is an urgent and potentially fatal complication of Coeliac Disease (CeD), which is most frequent in early childhood. The crisis may occur at onset or develop in CeD patients with poor compliance to the gluten-free diet (GFD). Stress, surgery and infections can act as triggers. The diagnosis is based on the acute onset of rapidly progressive diarrhoea associated with at least two conditions among severe dehydration, metabolic acidosis, dyselectrolytemia, renal dysfunction, neurological alterations, hypoproteinemia and weight loss. Haematological manifestations, such as thrombocytopenia, increased INR, aplastic anaemia and leukopenia, are rare. The cornerstones of therapy are intravenous rehydration, correction of hypoalbuminemia, acidosis and dyshionemia along with a strict GFD. Steroids may be also used in refractory cases. The paper describes a recent case of a patient presenting with a severe life-threatening coeliac crisis characterized by inability to walk due to lower limb weakness, severe abdominal distension, diarrhoea and peripheral oedema.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"89 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659489","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}
Through the narration of the case of a girl with ocular-cutaneous type 1 albinism, the author gives an example of the importance of words and the empathy they can express in managing the most challenging professional situations.
{"title":"Empatia, empatia: la cura è anche con le parole","authors":"I. Giuseppin","doi":"10.53126/mebxxviia77","DOIUrl":"https://doi.org/10.53126/mebxxviia77","url":null,"abstract":"Through the narration of the case of a girl with ocular-cutaneous type 1 albinism, the author gives an example of the importance of words and the empathy they can express in managing the most challenging professional situations.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"53 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665627","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}
Arboviruses are zoonoses caused by viruses transmitted by many arthropod vectors, included mosquitoes. In Italy, Arboviruses can cause both imported and native infections, with different clinical manifestations. Therefore, they should always be considered in the differential diagnosis in case of both history of foreign travels and disease diffusion within the national territory. Among the strategies against Arbovirosis, communication and training should be kept in mind, in order to implement environmental and vaccination prophylaxis.
{"title":"Chikungunya e Dengue: tutta colpa di una zanzara. Epidemiologia, clinica e prevenzione vaccinale","authors":"A. Villani, R. Russo","doi":"10.53126/mebxxviia68","DOIUrl":"https://doi.org/10.53126/mebxxviia68","url":null,"abstract":"Arboviruses are zoonoses caused by viruses transmitted by many arthropod vectors, included mosquitoes. In Italy, Arboviruses can cause both imported and native infections, with different clinical manifestations. Therefore, they should always be considered in the differential diagnosis in case of both history of foreign travels and disease diffusion within the national territory. Among the strategies against Arbovirosis, communication and training should be kept in mind, in order to implement environmental and vaccination prophylaxis.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"16 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660350","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}
Beatrice Crotti, M. Fuoti, L. Dotta, Maria Federica Girelli, A. Meini, R. Badolato
The authors describe the case of a 12-year-old Egyptian girl with a painful, aseptic swelling on the upper right eyelid associated with diarrhoea eventually diagnosed as IBD linked sterile abscess syndrome.
{"title":"Non tutti gli ascessi sono infetti","authors":"Beatrice Crotti, M. Fuoti, L. Dotta, Maria Federica Girelli, A. Meini, R. Badolato","doi":"10.53126/mebxxviia82","DOIUrl":"https://doi.org/10.53126/mebxxviia82","url":null,"abstract":"The authors describe the case of a 12-year-old Egyptian girl with a painful, aseptic swelling on the upper right eyelid associated with diarrhoea eventually diagnosed as IBD linked sterile abscess syndrome.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"51 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664297","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}
Michele Leotta, Paola Cavallaro, Antonella De Santis, Speranza Cioffi, Nicoletta Della Vecchia, Laura Papini, Sebastian Cristaldi, Anna Maria Musolino, M. Pisani, U. Raucci, A. Villani
The authors describe the case of a 2-month-old inappetent infant finally diagnosed with a left diaphragmatic hernia.
作者描述了一个 2 个月大的婴儿的病例，该婴儿无行为能力，最终被诊断为左侧膈疝。
{"title":"Lattante con inappetenza in Pronto Soccorso: una sfida per il pediatra","authors":"Michele Leotta, Paola Cavallaro, Antonella De Santis, Speranza Cioffi, Nicoletta Della Vecchia, Laura Papini, Sebastian Cristaldi, Anna Maria Musolino, M. Pisani, U. Raucci, A. Villani","doi":"10.53126/mebxxviif33","DOIUrl":"https://doi.org/10.53126/mebxxviif33","url":null,"abstract":"The authors describe the case of a 2-month-old inappetent infant finally diagnosed with a left diaphragmatic hernia.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957695","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}
A diagnosis of anaemia due to menometrorrhagia was eventually made in an 11-year-old severely anaemic girl.
最终，一名 11 岁的严重贫血女孩被诊断为子宫出血引起的贫血。
{"title":"Menometrorragia come causa di anemia grave","authors":"Martina D'Agostin","doi":"10.53126/mebxxviif36","DOIUrl":"https://doi.org/10.53126/mebxxviif36","url":null,"abstract":"A diagnosis of anaemia due to menometrorrhagia was eventually made in an 11-year-old severely anaemic girl.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"41 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957383","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}
Angela Troisi, I. Bruno, Luca Ragni, A. Nuzzo, Federico Marchetti
The diagnosis of dilatative cardiomyopathy due to a new mutation of MYH7 gene was eventually made in a 1-month-old infant presenting with dyspnoea and difficult feeding.
{"title":"Un cuore grande così... dalla nascita","authors":"Angela Troisi, I. Bruno, Luca Ragni, A. Nuzzo, Federico Marchetti","doi":"10.53126/mebxxviif30","DOIUrl":"https://doi.org/10.53126/mebxxviif30","url":null,"abstract":"The diagnosis of dilatative cardiomyopathy due to a new mutation of MYH7 gene was eventually made in a 1-month-old infant presenting with dyspnoea and difficult feeding.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"39 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957401","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}
Elisabetta Gibellato, Sigi Petrela, A. Arosio, Nicolò Peccatori, M. Melzi, A. Lazzerotti, Andrea Biondi
A healthy 15-year-old boy was hospitalized due to the persistence of lateral cervical swelling associated with fever and worsening of headache. He underwent a neck and facial mass CT scan showing a thrombophlebitis of the internal jugular vein extended to the intracranial sinuses. The diagnosis of Lemierre syndrome (LS) was formalized with positive blood colture for Fusobacterium necrophorum. Intravenous antibiotic therapy associated with anticoagulant therapy was started with complete clinical recovery after 4 weeks of treatment. A close clinical-instrumental follow-up was set up. Lemierre syndrome is a thrombophlebitis of the internal jugular vein, that in this case was extended to the intracranial sinuses. It is a rare condition, secondary to the extension of an infectious process starting from the oropharynx. The clinical picture is characterized by high fever, persistent pharyngitis followed by sepsis, pneumo-nia or atypical laterocervical pain. Fusobacterium necrophorum, a gram-negative anaerobe bacteriu,, is the responsible pathogen in most of the cases (>90%). The antibiotic treatment is prolonged (at least 4-6 weeks); occasionally a parallel surgical approach is necessary. The start of anticoagulant thera-py for internal venous thrombosis associated with LS is still matter of debate.
{"title":"Un imprevisto tra capo e collo: la sindrome di Lemierre","authors":"Elisabetta Gibellato, Sigi Petrela, A. Arosio, Nicolò Peccatori, M. Melzi, A. Lazzerotti, Andrea Biondi","doi":"10.53126/mebxxviif27","DOIUrl":"https://doi.org/10.53126/mebxxviif27","url":null,"abstract":"A healthy 15-year-old boy was hospitalized due to the persistence of lateral cervical swelling associated with fever and worsening of headache. He underwent a neck and facial mass CT scan showing a thrombophlebitis of the internal jugular vein extended to the intracranial sinuses. The diagnosis of Lemierre syndrome (LS) was formalized with positive blood colture for Fusobacterium necrophorum. Intravenous antibiotic therapy associated with anticoagulant therapy was started with complete clinical recovery after 4 weeks of treatment. A close clinical-instrumental follow-up was set up. Lemierre syndrome is a thrombophlebitis of the internal jugular vein, that in this case was extended to the intracranial sinuses. It is a rare condition, secondary to the extension of an infectious process starting from the oropharynx. The clinical picture is characterized by high fever, persistent pharyngitis followed by sepsis, pneumo-nia or atypical laterocervical pain. Fusobacterium necrophorum, a gram-negative anaerobe bacteriu,, is the responsible pathogen in most of the cases (>90%). The antibiotic treatment is prolonged (at least 4-6 weeks); occasionally a parallel surgical approach is necessary. The start of anticoagulant thera-py for internal venous thrombosis associated with LS is still matter of debate.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"37 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957426","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}
Gianmarco Fiorenza, Lorenzo De Luca, Bernadette Donnarumma, Sonia Tranchese, M. Rezzuto, Caterina Mosca, Giuliana Ponte, Laura Liguori, Emma Acampora, L. Tarallo
The case of a drowsy and tachycardic infant eventually diagnosed with cannabis intoxication is presented.
本报告介绍了一例嗜睡和心动过速的婴儿最终被诊断为大麻中毒的病例。
{"title":"Sintomi neurologici da causa insolita","authors":"Gianmarco Fiorenza, Lorenzo De Luca, Bernadette Donnarumma, Sonia Tranchese, M. Rezzuto, Caterina Mosca, Giuliana Ponte, Laura Liguori, Emma Acampora, L. Tarallo","doi":"10.53126/mebxxviif32","DOIUrl":"https://doi.org/10.53126/mebxxviif32","url":null,"abstract":"The case of a drowsy and tachycardic infant eventually diagnosed with cannabis intoxication is presented.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957548","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}
Sonia Tranchese, Gianmarco Fiorenza, Bernadette Donnarumma, Lorenzo De Luca, Daniela Coppola, Luisa Occhiati, Giuliana Ponte, G. Ciccarelli, Emma Acampora, L. Tarallo
The authors describe the case of a 7-year-old boy presenting with morning vomiting eventually diagnosed as idiopathic epilepsy of childhood.
作者描述了一个 7 岁男孩的病例，他出现晨吐症状，最终被诊断为特发性儿童癫痫。
{"title":"Un vomito insidioso","authors":"Sonia Tranchese, Gianmarco Fiorenza, Bernadette Donnarumma, Lorenzo De Luca, Daniela Coppola, Luisa Occhiati, Giuliana Ponte, G. Ciccarelli, Emma Acampora, L. Tarallo","doi":"10.53126/mebxxviif35","DOIUrl":"https://doi.org/10.53126/mebxxviif35","url":null,"abstract":"The authors describe the case of a 7-year-old boy presenting with morning vomiting eventually diagnosed as idiopathic epilepsy of childhood.","PeriodicalId":486824,"journal":{"name":"Medico e bambino pagine elettroniche","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957464","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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