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966 records returned

Streptococcus pneumoniae-associated haemolytic uremic syndrome following influenza A virus infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a patient who had invasive pneumococcal disease and haemolytic uremic syndrome. Simultaneous viral cultures grew influenza A. To the best of our knowledge, this is the first such reported case. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1081-2Authors Tzu-Hui Lei, Chang Gung University College of Medicine Division of Pediatric Emergency Medicine, Chang Gung Children’s Hospital, Chan Gung Memorial Hospital 5 Fu-Shing Street, Kweishan 333 Taoyuan Taiwan Republic of ChinaShao-Hsuan Hsia, Chang Gung University College of Medicine Division of Pediatric Emergency Medicine, Chang Gu...
Source: European Journal of Pediatrics - November 11, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Hypoglycaemic seizure and neonatal acute adrenal insufficiency after maternal exposure to prednisone during pregnancy: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of AAI following maternal exposure to moderate doses of corticosteroids during pregnancy. The neonate, born at term, presented with hypoglycaemia complicated by seizures. The AAI was confirmed by endocrine tests and after exclusion of differential diagnoses. Early diagnosis and treatment led to full recovery. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1095-9Authors Pierre-Jean Saulnier, CHU de Poitiers Department of Clinical Pharmacology and Regional Center of Pharmacovigilance Poitiers FranceXavier Piguel, CHU de Poitiers Department of Endocrinology and Diabetology Poi...
Source: European Journal of Pediatrics - November 9, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Three familial cases of drug-resistant Mycoplasma pneumoniae infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our clinical and laboratory observations strongly support the idea that the host immune maturity, rather than a virulence factor of the organism, is a major determinant factor of disease severity of M. pneumoniae infection and that drug resistance does not necessarily lead to a serious clinical outcome. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1100-3Authors Shintaro Kamizono, Kamiamakusa General Hospital Department of Pediatrics 1419-19, Takado, Ryugatake Kamiamakusa Kumamoto 866-0202 JapanHitomi Ohya, Kanagawa Prefectural Institute of Public Health Department of Microbio...
Source: European Journal of Pediatrics - November 8, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Tick-borne encephalitis presenting as fever without localising signs—a case seriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion TBE infection has to be considered in the differential diagnosis of FWLS in endemic areas. Foremost, FWLS characterised by a biphasic fever course and accompanied by headache in patients in a reduced general condition. Affirming that in patients presenting as FWLS also cases of TBE are contained, this disease is underreported. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1097-7Authors Patrick Michael Meyer, Triemli Hospital Zurich Department of Paediatrics Birmensdorferstrasse 497 8063 Zurich SwitzerlandHanspeter Zimmermann, Swiss Federal Office of Public Health D...
Source: European Journal of Pediatrics - November 3, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

BTNL2 gene polymorphisms may be associated with susceptibility to Kawasaki disease and formation of coronary artery lesions in Taiwanese childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, our results suggest that BTNL2 gene polymorphisms might be genetic markers of KD susceptibility and risk of coronary artery complication in Taiwanese children. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1099-5Authors Kai-Chung Hsueh, China Medical University Hospital Children’s Medical Center Taichung TaiwanYing-Ju Lin, China Medical University Hospital Department of Medical Genetics No. 2 Yuh Der Road Taichung TaiwanJeng-Sheng Chang, China Medical University Hospital Children’s Medical Center Taichung TaiwanLei Wan, China Medical University Hospital Department of Medi...
Source: European Journal of Pediatrics - November 2, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion: Doses of NTBC, lower than recommended, may be helpful in treatment of tyrosinemia, on condition that succinylacetone production is suppressed, and AFP is maintained normal or showing a progressive decrease. This cost-effective dose may allow treatment of affected children from economically underprivileged countries, but longer follow up periods are needed. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1090-1Authors Hanaa El-Karaksy, Cairo University Department of Pediatrics 44 Mohei El-Deen Abu El-Ezz Street, Dokki Cairo 12311 EgyptMohmmad Rashed, King Faisal Specialist Ho...
Source: European Journal of Pediatrics - October 31, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Food refusal in 1-year-old childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This is a case report of a 1-year-old, otherwise healthy, girl who presented with the history of refusal of solid foods and vomiting of 1-month duration. She underwent upper gastrointestinal endoscopy, which revealed an eye-catching endoscopic finding and the cause of her symptoms. Content Type Journal ArticleCategory Your DiagnosisDOI 10.1007/s00431-009-1082-1Authors Madhur Ravikumara, Princess Margaret Hospital for Children Paediatric Gastroenterologist Roberts Road Subiaco 6008 Australia Journal European Journal of PediatricsOnline ISSN 1432-1076Print ISSN 0340-6199 (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - October 28, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Congenital mitral regurgitation due to papillary muscle infarction: a case report and approach to evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of congenital atresia of left main coronary artery in an asymptomatic 8-month-old presenting with an incidental finding of mitral valvar regurgitation. Appropriate investigations and management lead to restoration of normal coronary blood flow and valve function. This particular case illustrates that congenital coronary anomalies may present in an otherwise asymptomatic child. It should be considered as one of the possible differential diagnosis in unexplained mitral regurgitation. Early recognition and prompt surgical treatment can radically modify the prognosis. Content Type Journal ArticleCatego...
Source: European Journal of Pediatrics - October 27, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

A 4-year-old boy presenting with recurrent croupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Croup is common in children but recurrent croup is unusual. A 4-year-11-month-old boy presented with recurrent croup. Physical examination revealed decreased breath sounds over left lower chest. Chest x-ray disclosed segmental atelectasis over left lower chest and a mass shadow over mediastinum. Content Type Journal ArticleCategory Your DiagnosisDOI 10.1007/s00431-009-1088-8Authors Chien-Yu Lin, Mackay Memorial Hospital Division of Infectious Disease, Department of Pediatrics 92, Section 2, Chungshan North Road Taipei TaiwanHsin Chi, Mackay Memorial Hospital Division of Infectious Disease, Depar...
Source: European Journal of Pediatrics - October 27, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Primary preventive strategies for oral health are an essential public health priority. Paediatricians have frequent contact with families during routine preventive visits in the child's first few years of life and are in an ideal and unique position, to advise families about the prevention of oral diseases in their children. Primary prevention is always recommended in very young children, to promote positive outcomes during childhood and later adulthood. The knowledge paediatricians acquire about orofacial growth may enhance the implementation and eventual success of a preventive programme. In view ...
Source: European Journal of Pediatrics - October 26, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Arterial distensibility is reduced in overweight pre- and early pubescent childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrates that attenuated arterial distensibility exists in overweight pre- and early pubescent children. As well, this study highlights the influential role of blood pressure and aerobic fitness on arterial distensibility. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1092-zAuthors Alayna M. Banach, Brock University Faculty of Applied Health Sciences 500 Glenridge Ave. St. Catharines ON L2S 3A1 CanadaJose Peralta-Huertas, Brock University Faculty of Applied Health Sciences 500 Glenridge Ave. St. Catharines ON L2S 3A1 CanadaKristina Livingstone, Brock University Faculty of A...
Source: European Journal of Pediatrics - October 24, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Anal canal duplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion ACD is a rare congenital intestinal anomaly located posterior to the anus. It can be confused with other types of anorectal pathologies, such as hemorrhoids, fistula-in-ano, and perianal abscess at the time of diagnosis. Although ACD is often asymptomatic, it should be removed surgically because of the risk of inflammatory complications and colloidal cancer. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1094-xAuthors Adnan Narcı, Afyon Kocatepe University Department of Pediatric Surgery, Faculty of Medicine Cocuk Cerrahisi AD Afyon 03200 TurkeyFatma Hüsniye Dilek...
Source: European Journal of Pediatrics - October 24, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

New insights into perinatal testicular torsionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Perinatal testicular torsion is a relatively rare event that remains unrecognized in many patients or is suspected and treated accordingly only after an avoidable loss of time. The authors report their own experience with several patients, some of them quite atypical but instructive. Missed bilateral torsion is an issue, as are partial torsion, possible antenatal signs, and late presentation. These data are discussed together with the existing literature and may help shed new light on the natural course of testicular torsion and its treatment. The most important conclusion is that a much higher inde...
Source: European Journal of Pediatrics - October 24, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The working group identified three leading ethical principles that apply to DSD management: (1) to foster the well-being of the child and the future adult, (2) to uphold the rights of children and adolescents to participate in and/or self-determine decisions that affect them now or later, and (3) to respect the family and parent–child relationships. Nine recommendations for the management of DSD indicate how these ethical principles can spelled out and balanced against each other in the clinical setting. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1086-xAutho...
Source: European Journal of Pediatrics - October 21, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Clinical practice: neonatal resuscitation. A Dutch consensusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The updated Dutch guidelines on Neonatal Resuscitation assimilate the latest evidence in neonatal resuscitation. Important changes with regard to the 2004 guidelines and controversial issues concerning neonatal resuscitation are reviewed, and recommendations for daily practice are provided and argued in the context of the ILCOR 2005 consensus. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00431-009-1091-0Authors Frank A. M. van den Dungen, VU University Medical Center Department of Pediatrics, Division of Neonatology De Boelelaan 1117 1081 HV Amsterdam The NetherlandsMariëtte B. van Ve...
Source: European Journal of Pediatrics - October 21, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Diagnosis, treatment and follow-up of 25 patients with melamine-induced kidney stones complicated by acute obstructive renal failure in Beijing Children’s HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A total of 25 Chinese patients aged 6 to 36 months hospitalised at Beijing Children’s Hospital due to melamine-induced kidney stones complicated by acute obstructive renal failure in 2008 were included in a study in order to diagnose and treat these special cases more effectively. Feeding history, clinical presentation, ultrasound findings, treatments and effects were summarised. Twelve to seventeen months follow-up was reported also. Ultrasound examination showed that calculi were located at the kidney and ureters. Stones were composed of both uric acid and melamine in a molar ratio of 1.2:1...
Source: European Journal of Pediatrics - October 21, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Microcephaly, sensorineural deafness and Currarino triad with duplication–deletion of distal 7qEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Currarino syndrome (CS) is a peculiar form of caudal regression syndrome [also known as autosomal dominant sacral agenesis (OMIM no. 176450)] characterised by (1) partial absence of the sacrum with intact first sacral vertebra, (2) a pre-sacral mass and (3) anorectal anomalies (Currarino triad). We studied a 3-year-old girl with Currarino triad who had additional systemic features and performed array comparative genomic hybridisation to look for chromosomal abnormalities. This girl had the typical spectrum of anomalies of the CS including (a) partial sacral agenesis (hemisacrum with remnants of only ...
Source: European Journal of Pediatrics - October 17, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Micturitional headache in a young girlEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 16-year-old girl came to our emergency department because of severe headache. For the past 3 years, she had presented at several emergency departments with a similar problem. When she was hospitalized for further investigation, she developed severe arterial hypertension for which an unusual cause was found by imaging of the abdomen. Content Type Journal ArticleCategory Your DiagnosisDOI 10.1007/s00431-009-1067-0Authors Fu-Chi Yang, Tri-Service General Hospital, National Defense Medical Center Department of Neurology No. 325, Section 2, Cheng-Kung Road, Neihu 114 Taipei Taiwan Republic of ...
Source: European Journal of Pediatrics - October 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Danger of low pressure alarm failure in preterm infants on continuous positive airway pressureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In certain settings of conventional continuous positive airway pressure (CPAP) application, the ventilator may not be able to detect dislodgement of the prongs. This occurs especially in settings with high flow and small prongs. We investigated the relation between ventilator flows, size of the nasal prongs, and pressure generated within the ventilator circuit due to the flow resistance of the prongs. We studied a Baby-flow® CPAP connected to a Babylog 8000plus® ventilator. Five prongs of increasing size (x-small, small, medium, large, x-large) and one nose mask were connected to the CPAP in turn....
Source: European Journal of Pediatrics - October 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

A 12-month-old boy with a localized verrucous tumorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 12-month-old boy was admitted suffering from a localized pad-like thickening of tissue affecting the area of his right hand joint. First affection of skin was detected at age of 6 months, when a red macula was noted. The parents were now afraid of a viral or malignant disorder. The lesion completely resolved by the second birthday without medical intervention. Content Type Journal ArticleCategory Your DiagnosisDOI 10.1007/s00431-009-1089-7Authors Matthias Möhrenschlager, Allergieklinik, Hochgebirgsklinik Department of Dermatology and Allergology Herman-Burchard-Street 1 7265 Davos Switzer...
Source: European Journal of Pediatrics - October 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Treatment of cranial epidural hematoma in a neonate by needle aspiration of a communicating cephalhematomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A newborn presented on day 15 of life with an epidural hematoma, extending through a diastatic sutura squamosa in an external cephalhematoma. There was no skull fracture. The cephalhematoma was punctured twice with 24-h interval, reducing both the cephalhematoma and the epidural component. In the absence of neurological signs or symptoms, aspirating a cephalhematoma to evacuate the communicating epidural hematoma in a newborn infant may avoid more invasive surgical intervention. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1071-4Authors Koenraad Jan Smets, Ghent Univ...
Source: European Journal of Pediatrics - October 15, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Day 1 serum lactate values in preterm infants less than 32 weeks gestationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Base deficit and serum lactate concentrations may be important prognostic indicators in preterm infants. We sought to (1) determine the relationship between day 1 serum lactate values and base deficit and (2) determine the relationship between day 1 biochemical parameters and adverse outcome in preterm infants <32 weeks. This was a retrospective study of all patients less than 32 weeks gestation admitted to neonatal intensive care unit over a 6-month period. All blood gases performed during the first 24 h post delivery were analysed. Adverse outcome was defined as death, severe...
Source: European Journal of Pediatrics - October 15, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Hemolytic-uremic syndrome in Switzerland: a nationwide surveillance 1997–2003Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, childhood HUS is not rare in Switzerland. Contrasting other countries, E. coli O157:H7 play only a minor role in the etiology. Incomplete manifestation is not uncommon. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1079-9Authors Alexandra Schifferli, University Children’s Hospital UKBB Roemergasse, 8 CH4058 Basel SwitzerlandRodo O. von Vigier, University Children’s Hospital Berne SwitzerlandMatteo Fontana, University Children’s Hospital UKBB Roemergasse, 8 CH4058 Basel SwitzerlandGiuseppina Spartà, University Children’s Hospital Zurich SwitzerlandHans Schmid, Federal...
Source: European Journal of Pediatrics - October 14, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Accidental intakes of remedies from complementary and alternative medicine in children—analysis of data from the Swiss Toxicological Information CentreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The use of complementary and alternative medicine (CAM) in Switzerland is rather high, and therefore, the occurrence of accidental intakes of CAM remedies by children and associated intoxications is to be expected. In the present study, the inquiries to the Swiss Toxicological Information Centre that took place from 1998 until 2007 and concerned accidental, unintended intakes of CAM remedies by children were analysed. Inquiries for information were performed by concerned care-givers, physicians, pharmacists and others in case of acute accidental intake of CAM remedies. Feedbacks from physicians abou...
Source: European Journal of Pediatrics - October 13, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Drug administration errors in paediatric wards: a direct observation approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Paediatric patients are more vulnerable to drug administration errors due to a lack of appropriate drug dosages and strengths for use in this group of patients. Therefore, the aim of the present study was to determine the extent and types of drug administration errors in two paediatric wards and to identify measures to reduce such errors. A researcher was stationed in two paediatric wards of a teaching hospital to observe all drugs administered to paediatric inpatients in each of the ward, for 1 day in a week over ten consecutive weeks. All data were recorded in a data collection form and then ...
Source: European Journal of Pediatrics - October 13, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Significant increase of succinylacetone within the first 12 h of life in hereditary tyrosinemia type 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion With the high toxic potential of downstream metabolites, these data clearly point out the necessity of early nitisinone treatment to prevent symptomatic disease. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1074-1Authors Jan-Ulrich Schlump, University Children’s Hospital Department of General Pediatrics Moorenstraße 5 40225 Düsseldorf GermanyErtan Mayatepek, University Children’s Hospital Department of General Pediatrics Moorenstraße 5 40225 Düsseldorf GermanyUte Spiekerkoetter, University Children’s Hospital Department of General Pediatrics Moorenstra�...
Source: European Journal of Pediatrics - October 8, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract An 8-year-old boy presented himself with a nontraumatic acute onset of thoracolumbar pain with an antalgic scoliosis. His past medical history did not reveal any infectious disorder. The back pain kept him from sleep and sports. Imaging revealed calcified intervertebral discs from thoracic intervertebral disc 10–11 to lumbar disc 2–3, with compression of the 11th thoracic root. Conservative treatment with analgesia, nonsteroidal anti-inflammatory drugs, and rest reduced the symptoms within a few days. The boy became asymptomatic within 2 weeks. Magnetic resonance imaging changes diminished ...
Source: European Journal of Pediatrics - October 8, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Usefulness of pneumococcal antigen detection in pleural effusion for the rapid diagnosis of infection by Streptococcus pneumoniaeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Pleural effusion is increasingly reported in children. Standard culture of blood or pleural fluid is frequently negative and molecular diagnosis by polymerase chain reaction is not available in all hospitals. The Binax NOW Streptococcus pneumoniae Antigen test (Binax, Portland, USA) is a rapid immunochromatographic test (ICT) for the detection of the C polysaccharide antigen. We evaluated the Binax NOW test on the pleural fluid of 73 children hospitalized with pleural effusion over a period of 4 years. In our sample, the sensitivity and specificity of ICT were high (88% and 71%, respectively), w...
Source: European Journal of Pediatrics - October 6, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Being alive after a severe inorganic mercury intoxicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report here a 10-year-old girl with severe inorganic mercury intoxication whose blood and urine mercury levels were 5,380 μg/L (normal, 0.6 to 59 μg/L) and 91 μg/L (normal, 0.1 to 20 μg/L), respectively, to reveal that life can be saved and complete recovery can be achieved even if the clinical situation is very severe. To our knowledge, this is the first report of a mercury intoxication being alive with such a high blood mercury level in children in English pediatric literature. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1073-2Authors Nilgun Erkek, Dr. Sami ...
Source: European Journal of Pediatrics - October 4, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Acute myelogenous leukemia in a child with HIV infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The occurrence of acute myelogenous leukemia (AML) in HIV-infected patients is extremely rare with only adult patients reported so far. Our patient was a 7-year-old male who presented with fever and cough since 1 month with six episodes of intermittent hemoptysis. The child also had recurrent parotid swellings, melena, and purulent otitis media. Investigations revealed anemia (hemoglobin of 8.9 g/dl), thrombocytopenia (platelet count of 21,000 cells per microliter), and positive HIV antibody (perinatal transmission). The patient's bone marrow aspiration and biopsy suggested AML, and the le...
Source: European Journal of Pediatrics - October 3, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Has the liver and other visceral organs migrated to its normal position in children with giant omphalocele? A follow-up study with ultrasonographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion In all former patients with a giant omphalocele, an abnormal position of the liver and in the majority of them, an incisional hernia was also found. The liver and sometimes also the spleen and the kidneys do not migrate to their normal position. Exact documentation and good information are important for both the patient and their caretakers in order to avoid liver trauma. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1068-zAuthors Floortje Clemens van Eijck, Radboud University Nijmegen Medical Centre Department of Surgery, Division of Paediatric Surgery Nijmegen ...
Source: European Journal of Pediatrics - September 29, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Pediatricians’ working conditions in German hospitals: a real-time task analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Surveys of pediatricians in Germany report low levels of job satisfaction. Preferably, such subjective reports should be corroborated by objective data regarding physicians’ working conditions. However, such data in the field of pediatrics could not be found in the scientific literature. The aim of the present observational field study was to collect exact data about pediatricians’ workflow in different pediatric hospital departments to evaluate and to optimize work routines. Data of 697 working hours were collected by using Tablet PCs during weekday shifts at three urban German hospitals. Twent...
Source: European Journal of Pediatrics - September 23, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Mycoplasma pneumoniae associated opsoclonus–myoclonus syndrome in three casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present three cases with opsoclonus–myoclonus–ataxia syndrome in adolescents following an infection with M. pneumoniae. Monophasic disease course and full recovery correspond to the favorable prognosis known from parainfectious cases in young adults. This should affect therapeutic consideration. OMS should be added to the spectrum of M. pneumoniae-associated neurologic complications. Nevertheless, neuroblastoma has to be ruled out in all cases of OMS. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1048-3Authors Benedikt Maria Huber, University Hospital, Inselspital Department of Ped...
Source: European Journal of Pediatrics - September 23, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Anaphylaxis during skin testing with food allergens in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Skin testing is the diagnostic cornerstone for allergies and is considered extremely safe. It is usually performed with the prick and the prick-to-prick method. The aim of this study is to report the first two pediatric cases of systemic allergic reactions during skin prick tests (SPT) with commercial food allergens. Both patients had a history of fish allergy. A 5-year-old girl, with a history of atopic dermatitis and asthma, reported an episode of urticaria and angioedema due to ingestion of fish, which had occurred 2 years before consultation. Ten minutes after having completed SPT to fish e...
Source: European Journal of Pediatrics - September 22, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

LEOPARD syndrome with recurrent PTPN11 mutation Y279C and different cutaneous manifestations: two case reports and a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe two unrelated LS cases with a common PTPN11 mutation Y279C and with completely different clinical features including distinct changes in skin pigmentation. In patient 1, the first complaint was hyperactive behaviour. First lentigines were presented at birth, but intensive growth began at the age of 2–4 years. Multiple dark lentigines were located mainly on the face and the upper part of the trunk, but the oral mucosa was spared. Patient 2 was born from induced labour due to polyhydramnion, and in the second week of life, mitral valve insufficiency and hypertrophic cardiomyopathy were diagnosed. Rapid...
Source: European Journal of Pediatrics - September 20, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Measuring health-related quality of life in Hungarian children attending a cardiology clinic with the Pediatric Quality of Life Inventory™Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of the study was to evaluate health-related quality of life (HRQoL) of Hungarian children attending a pediatric cardiology outpatient unit with the Pediatric Quality of Life Inventory™ (PedsQL™) questionnaire. The PedsQL™ Generic Core Scales and Cardiac Module were administered to 254 families including 195 children during a pediatric cardiology outpatient visit, and 525 families including 373 children from the general population were examined by the PedsQL™ Generic Core Scale by a postal survey. The relationships between PedsQL™ scores and patient characteristics were analyzed. Hu...
Source: European Journal of Pediatrics - September 18, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Involvement of tryptophan hydroxylase 2 (TPH2) gene polymorphisms in susceptibility to coronary artery lesions in Korean children with Kawasaki diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Kawasaki disease (KD) is an acute vasculitis of childhood that predominantly affects the coronary arteries. We investigated single nucleotide polymorphisms (SNPs) of the tryptophan hydroxylase 2 (TPH2) gene as risk factors for KD with coronary artery lesions (CALs) in Korean children. We genotyped two SNPs [rs7305115 (exon 7) and rs4290270 (exon 9)] using direct sequencing in 101 KD and 256 control subjects. To analyze the genetic data, SNPStats, SNPAnalyzer, and Helixtree programs were used. The genotype analysis of rs7305115 and rs4290270 showed no significant differences between KD and control gr...
Source: European Journal of Pediatrics - September 18, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Stridor is the sound caused by abnormal air passage during breathing. The cause of stridor can be located anywhere in extrathoracic airway (nose, pharynx, larynx, and trachea) or the intrathoracic airway (tracheobronchial tree). Stridor may be acute (caused by inflammation/infection or foreign body inhalation) or chronic. It may be congenital or acquired. Stridor is a sign from which the underlying cause must be sought; it is not a diagnosis. The role of the pediatrician faced with a child or infant with noisy breathing is: (1) to determine the severity or respiratory compromise and the need for imm...
Source: European Journal of Pediatrics - September 18, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

A novel 1p31.3p32.2 deletion involving the NFIA gene detected by array CGH in a patient with macrocephaly and hypoplasia of the corpus callosumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report another case of a microdeletion with involvement of the NFIA gene in the short arm of chromosome 1 (del(1)(p31.3p32.2)) with, amongst other features, hypoplasia of the corpus callosum, ventriculomegaly, and dysmorphic features. A microdeletion 1p31.3p32.2 which includes the NFIA gene is associated with hypoplasia of the corpus callosum, ventriculomegaly, and dysmorphic features. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1057-2Authors Udo Koehler, Medizinisch Genetisches Zentrum München Bayerstr. 3-5 80335 Munich GermanyElke Holinski-Feder, Medizinisch Genetisches Zentrum M�...
Source: European Journal of Pediatrics - September 18, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Non-accidental chlorpyrifos poisoning—an unusual cause of profound unconsciousnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a healthy 5-year 6-month-old boy with recurrent organophosphate intoxication. Reports of chlorpyrifos intoxication in children are quite rare. This case report demonstrates decision-making process and how to disclose deliberate chlorpyrifos poisoning of the toddler by the stepmother, another example of Munchausen syndrome by proxy. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1054-5Authors Jiun-Chang Lee, Chang Gung University College of Medicine Division of Pediatric Neurology, Chang Gung Children’s Hospital and Chang Gung Memorial Hospital #5 Fu-Shin Street, Kwei-Shan Tao...
Source: European Journal of Pediatrics - September 17, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Athletics, minor trauma, and pediatric arterial ischemic strokeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe three cases of sports-related stroke in previously healthy school-age children and discuss acute and long-term stroke care. Possible mechanisms of sports-related stroke are addressed, as is evaluation for cause of stroke in children. In one of the reported cases, the child was found to have a vertebral artery dissection as the cause of his stroke, but no definitive cause of stroke was identified in the other two cases despite extensive evaluation. The advisability and timing of returning to athletic activities after stroke is also discussed. Many children with sports-related stroke are initially seen by a ...
Source: European Journal of Pediatrics - September 17, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Reply to correspondence letter by Luis Ignacio Gonzalez-GranadoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory CorrespondenceDOI 10.1007/s00431-009-1063-4Authors Caner Aytekin, Dr. Sami Ulus Children’s Health and Diseases Training and Research Center Ankara TurkeyFigen Dogu, Ankara University School of Medicine Department of Pediatric Immunology and Allergy Ankara TurkeyAydan Ikinciogullari, Ankara University School of Medicine Department of Pediatric Immunology and Allergy Ankara Turkey Journal European Journal of PediatricsOnline ISSN 1432-1076Print ISSN 0340-6199 (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - September 17, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Spectrum of congenital heart defects in CroatiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of our study was to investigate the incidence of congenital defects in children born in Croatia during a period of 5 years, its association with extracardiac malformations, its treatment, and outcome. Medical information about the patients was obtained from 14 paediatric cardiology centres that cover the whole country. Diagnosis was made by clinical findings, electrocardiography, chest X-ray, echocardiography, catheterisation, or autopsy. Between October 1, 2002 and October 1, 2007, there were 205,051 live births in Croatia, 1,480 of which were patients diagnosed with congenital heart d...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Does the severity of congenital heart defects affect disease-specific health-related quality of life in children in Bosnia and Herzegovina?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The results of the assessment by the PedsQL™ 3.0 Cardiac Module, a cardiac disease-specific instrument for children with CHD, indicate that HRQOL is poorest in children with complex CHD. Therefore, it is necessary to take the appropriate preventive measures for these patients, which include early (timely) cardiosurgical intervention and active psychological support to limit the negative impact of serious forms of CHD on the quality of life of these children. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1060-7Authors Elnur Tahirović, University of Sarajevo Heart Center S...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Behçet disease: treatment of vascular involvement in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, features of vascular involvement should be carefully sought for in patients with Behçet disease. Effective management has enabled disease-free survival in the presented patients. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1040-yAuthors Seza Ozen, Hacettepe University School of Medicine Department of Pediatrics, Nephrology and Rheumatology Unit Ankara TurkeyYelda Bilginer, Hacettepe University School of Medicine Department of Pediatrics, Nephrology and Rheumatology Unit Ankara TurkeyNesrin Besbas, Hacettepe University School of Medicine Department of Pediatrics, Nephrolo...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Familial primary carpal tunnel syndrome with possible skipped generationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the occurrence of carpal tunnel syndrome in two generations of a family in which the index case was a 6-year-old boy with bilateral hand pain and paresthesias. Our report demonstrates an interesting inheritance pattern of carpal tunnel syndrome in a family transmitted by an autosomal dominant gene with variable expressivity and reduced penetrance. To our knowledge, it is the first report of familial bilateral carpal tunnel syndrome in a family with possible skipped generation. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00431-009-1055-4Authors Saliha Senel, Dr. Sami Ulus Children’s ...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Submandibular lymphadenitis caused by Mycobacterium interjectum: contribution of new diagnostic toolsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a 2-year-old girl with suspected tuberculous cervical lymphadenitis. Sequencing of the 16S rRNA gene allowed the correct identification of Mycobacterium interjectum. As yet, only nine case reports of infections due to M. interjectum in children have been reported in the literature, and in all of them a correct identification could only be obtained using gene sequencing. Content Type Journal ArticleCategory Short ReportDOI 10.1007/s00431-009-1053-6Authors David Tuerlinckx, Cliniques Universitaires de Mont-Godinne Département de Pédiatrie, Université Catholique de Louvain 5530 Yvoir BelgiumMaryse Fauvil...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Sclerosing cholangitis and combination antifungal therapy for PNP deficiency patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory CorrespondenceDOI 10.1007/s00431-009-1062-5Authors Luis Ignacio Gonzalez-Granado, Hospital Universitario 12 de Octubre Immunodeficiencies Unit Avenida Andalucia, km 5.4 28041 Madrid Spain Journal European Journal of PediatricsOnline ISSN 1432-1076Print ISSN 0340-6199 (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and ageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to determine the prevalence of flexible flatfoot in elementary school children in Taiwan and evaluate the relationship between flatfoot and obesity, gender, and age. A sample of 2,083 children, between 7 and 12 years of age from public elementary schools in northern Taiwan was analyzed. Children were stratified into groups according to age: 7, 8, 9, 10, 11, or 12 years old. Demographic information was obtained, and the presence of flatfoot determined by footprint analysis and grading according to Denis flatfoot staging. A total of 1,222 (59%) children were documented with flatf...
Source: European Journal of Pediatrics - September 16, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals

Pneumococcal pneumonia—is it underdiagnosed?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory CorrespondenceDOI 10.1007/s00431-009-1052-7Authors Matti Korppi, Tampere University and University Hospital Pediatric Research Center 33014 Tampere Finland Journal European Journal of PediatricsOnline ISSN 1432-1076Print ISSN 0340-6199 (Source: European Journal of Pediatrics)
Source: European Journal of Pediatrics - September 3, 2009 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: journals