Turkish J Pediatr
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Foreign body aspiration (FBA) is a common, dangerous problem among children of all ages. Laryngeal foreign bodies may present with less severe symptoms compared to lower respiratory tract foreign bodies, resulting in misdiagnosis, confusion and delay. ⋯ A triangular-shaped, red plastic material with sharp edges was removed from the larynx by direct laryngoscopy. The clinical presentation and management are discussed.
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Case Reports
Antiepileptic hypersensitivity and DRESS syndrome due to phenytoin in two pediatric cases.
Antiepileptic hypersensitivity syndrome (AHS) is a potentially life-threatening syndrome, especially in pediatric cases. Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome reflects a serious hypersensitivity reaction to drugs. We report here two children with AHS due to phenytoin. ⋯ The manifestations in both cases improved after withholding the phenytoin. Clinical presentations of adverse drug reactions are highly variable and must therefore be suspected in any patient who develops any unusual manifestation after taking antiepileptic drugs. Early recognition of AHS and withholding and/or changing the medication are necessary to prevent potentially fatal outcomes.
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One hundred and one children with visceral leishmaniasis (VL) who admitted to Akdeniz University Hospital during a 20-year period were analyzed. Median age of the patients was 3 years (range: 5.5 months-13 years). The most common symptoms at presentation were fever, pallor and abdominal distension. ⋯ No patient showed post kala-azar dermal leishmaniasis findings. We conclude that VL should be considered in patients with prolonged fever, hepatosplenomegaly and cytopenia who live in an endemic region. Amphotericin B is a therapeutic agent as effective as pentavalent antimony compounds and could be preferred.