Pediatric emergency care
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Pediatric emergency care · Apr 2013
Case ReportsDevelopment of pyloric stenosis after a 4-day course of oral erythromycin.
Early exposure to oral erythromycin in young infants, particularly in the first 2 weeks of life, has previously been associated with the development of hypertrophic pyloric stenosis. We report a case of an infant who received an abbreviated 4-day course of oral erythromycin for suspected Chlamydia conjunctivitis at 5 days of life then underwent pyloromyotomy for pyloric stenosis less than 2 weeks later. Health care providers should use erythromycin judiciously in neonates because only a few days of exposure to this medication may lead to the development of a surgical condition of gastric outlet obstruction.
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Pediatric emergency care · Apr 2013
Review Case ReportsIdentification of unanticipated pelvic pathology on renal bedside ultrasound.
Bedside emergency ultrasound can be a useful initial test in children who present with abdominal pain. Our case describes a teenager who presented to the emergency department with back pain and right lower quadrant pain, suspicious for nephrolithiasis. The use of bedside ultrasound enabled timely diagnosis and management of an unanticipated condition.
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Pediatric emergency care · Apr 2013
Case ReportsHydrogen peroxide solution ingestion caused brain death of a 3-year-old girl.
Hydrogen peroxide solutions are often used in daily life as a household disinfectant and in cosmetic products and are therefore a common source of intentional poisonings, especially for children. When ingested in small amounts, it may cause severe central nervous system damage as a result of arterial emboli like our case. ⋯ This is may be related by the timing of treatment after the event. We would like to emphasize that every clinician must be aware of the dangers of hydrogen peroxide ingestion and hyperbaric oxygen treatment may be of benefit if it is performed immediately.
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Pediatric emergency care · Apr 2013
Case ReportsPediatrician! Do you know the symptoms of DRESS syndrome? A case report of a 4-year-old girl.
Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a severe drug-induced hypersensitivity syndrome and may be observed after administration of many drugs. Clinical symptoms usually occur 2 to 8 weeks after drug introduction. Because DRESS syndrome is potentially life threatening, it is especially important to diagnose it early. ⋯ The article presents a case of a 4-year-old girl with a life-threatening clinical course of DRESS syndrome with massive pulmonary involvement. The knowledge of DRESS syndrome clinical symptoms is essential for doctors of various specialties. It is especially important that general practitioners, pediatricians, and pediatric neurologists should be able to take this life-threatening syndrome into consideration for differential diagnosis.
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Pediatric emergency care · Apr 2013
Review Case ReportsIntestinal obstruction in children: could it be congenital abdominal bands?
Chronic abdominal pain is the most commonly seen condition in the pediatric population. Many causes can be successfully managed by conservative treatment; nevertheless, surgical intervention is sometimes inevitable. ⋯ The cause of chronic abdominal pain as well as the intestinal obstruction was revealed during the operation: 2 congenital abdominal bands, trapping the gut convolutes. To our knowledge, this is the first report of 2 bands in a single patient.