Pediatric emergency care
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Pediatric emergency care · Jun 2014
ReviewReview of the use of lipid emulsion in nonlocal anesthetic poisoning.
Intravenous lipid emulsion (ILE) has been used widely for the treatment of poisoning due to local anesthetic agent and is increasingly reported as a therapy for other forms of poisoning. This article will review the proposed mechanisms of action for ILE in poisoning and the evidence from animal studies and human experience supporting the use of ILE for poisoning due to nonlocal anesthetic agents.
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Pediatric emergency care · Jun 2014
Serum Ischemia-Modified Albumin Levels in Children With Epileptic Seizures.
The aim of the present study was to determine the level of ischemia-modified albumin (IMA) in children with epileptic seizures (ESs) and its relation with the seizure duration. ⋯ Increased IMA levels after seizures suggest that IMA assay during seizure may be useful for predicting the diagnosis and severity of convulsion.
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Pediatric emergency care · Jun 2014
Case ReportsA rare presentation of seizures in a not-so-rare disease: henoch-schönlein purpura presenting with repeated seizures.
Henoch-Schönlein purpura represents the most common form of systemic vasculitis in children. Although a very common cause of vasculitis, seizures are a very rare complication of this disorder. We report a 5-year-old boy who presents with no other clinical symptoms of the disorder other than a seizure. By presenting this case, we hope to expand the differential diagnosis of repeated seizures to include diseases in which the pathogenesis of diseases with small vessel vasculitis such as Henoch-Schönlein purpura is considered.
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Pediatric emergency care · Jun 2014
Case ReportsBotfly Larva Masquerading as Periorbital Cellulitis: Identification by Point-of-Care Ultrasonography.
Myiasis, or the infiltration of the botfly larvae, is a relatively frequent problem encountered by travelers to parts of Latin America. This is a novel case report that documents a Dermatobia hominis infestation of the left facial region with secondary periorbital cellulitis diagnosed by point-of-care ultrasonography.