Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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The effectiveness and safety of antiarrhythmic agents, mostly digoxin and amiodarone given to prevent recurrences, were compared in 141 infants of less than 1 year (77% < 1 month) with re-entrant supraventricular tachycardia. ⋯ Amiodarone was found to be safer and more effective than digoxin. No significant side-effect was demonstrated in infants receiving a short-term treatment. Amiodarone may be proposed as first line therapy for prophylaxis of re-entrant supraventricular tachycardia in infancy, especially for those patients with reentry and Wolff-Parkinson-White syndrome.
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Case Reports
[Post-lumbar puncture headache in children. Treatment with epidural autologous blood (blood patch)].
Post-lumbar puncture headaches (PLPH) are uncommon in children, but when they occur treatment is challenging. PLPH in adults have been successfully treated by the use of the epidural blood patch. This treatment has been very rarely reported in children. ⋯ EBP can be useful in the treatment of PLPH lasting more than 5 days in children.
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Early neonatal pneumonia is mainly caused by bacteria, group B streptococcus, Escherichia coli and listeria being the most frequently involved; Herpes simplex is the main viral agent. These agents may also be responsible for late forms, besides Chlamydia trachomatis and the pathogen agents of community acquired pneumonia. ⋯ In addition, symptomatic treatment is mandatory in order to provide nutritional, hydroelectrolytic and hemodynamic equilibrium and efficient ventilation. Prevention must be directed toward Herpes simplex and group B streptococcus infections.