Grace Ong Hui Yan, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah, Prepageran Narayanan
Introduction: Undernutrition is a serious health problem in developing countries. The prevalence of undernutrition is deemed higher among the indigenous community in many developing countries, owing to their relatively lower socioeconomic status, lack of healthcare awareness and essential needs, as well as poor sanitation facilities. We aimed to assess the nutritional status among children within a single indigenous community in Kampung Gabai, Malaysia. Materials and methods: We conducted a pilot study on the nutritional status of the paediatric population of the Orang Asli community in Kampung Gabai by assessingtheir anthropometric indices during a medical camp, as this community had never been assessed before. Anthropometric indices were based on heights, mid-upper arm circumferences and head circumferences of 21 children aged between 2 to 14 years. Additionally, skin evaluation and otoscopic examinations were performed in the same setting. Results: The prevalence of stunting was 38.1% among the children in Kampung Gabai. The height-for-age Z score distribution of the children skewed slightly to the left in comparison to the World Health Organization standard. The midupper-arm circumferences and the head circumferences of children who were less than 5 years old were within the normal range. The children generally had normal otoscopic and skin findings. Conclusion: This preliminary study concluded that the prevalence of stunting is high among indigenous children in a single community in Malaysia.
{"title":"Nutritional screening among paediatric indigenous population in Malaysia: a pilot study","authors":"Grace Ong Hui Yan, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah, Prepageran Narayanan","doi":"10.15557/pimr.2023.0015","DOIUrl":"https://doi.org/10.15557/pimr.2023.0015","url":null,"abstract":"Introduction: Undernutrition is a serious health problem in developing countries. The prevalence of undernutrition is deemed higher among the indigenous community in many developing countries, owing to their relatively lower socioeconomic status, lack of healthcare awareness and essential needs, as well as poor sanitation facilities. We aimed to assess the nutritional status among children within a single indigenous community in Kampung Gabai, Malaysia. Materials and methods: We conducted a pilot study on the nutritional status of the paediatric population of the Orang Asli community in Kampung Gabai by assessingtheir anthropometric indices during a medical camp, as this community had never been assessed before. Anthropometric indices were based on heights, mid-upper arm circumferences and head circumferences of 21 children aged between 2 to 14 years. Additionally, skin evaluation and otoscopic examinations were performed in the same setting. Results: The prevalence of stunting was 38.1% among the children in Kampung Gabai. The height-for-age Z score distribution of the children skewed slightly to the left in comparison to the World Health Organization standard. The midupper-arm circumferences and the head circumferences of children who were less than 5 years old were within the normal range. The children generally had normal otoscopic and skin findings. Conclusion: This preliminary study concluded that the prevalence of stunting is high among indigenous children in a single community in Malaysia.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam Rytel, Katarzyna Morawiec, Monika Kukawska-Rytel, Elżbieta Głuch, Stanisław Niemczyk
Hypothyroidism is a set of clinical symptoms associated with a deficiency of thyroid hormones. Musculoskeletal symptoms, i.e. stiffness, pain or muscle fatigue, are among the many manifestations of the disorder. Rhabdomyolysis, a syndrome accompanying muscle tissue damage, which leads to acute kidney injury, may be a complication of hypothyroidism. In this paper, we present a case of a 35-year-old patient with hypothyroidism due to Hashimoto’s disease, with a 4-year history of diagnosis for periodic pain and muscle weakness in the lower extremities. The patient presented to the hospital due to the recurring symptoms. One month before admission, she had discontinued thyroid hormone supplementation. Laboratory tests showed unquantifiable low levels of free thyroid hormones, elevated creatine kinase levels, and elevated kidney function parameters. Non-compliance can lead to potentially life-threatening complications in hypothyroid patients. Prompt diagnosis and implementation of treatment can lead to symptom resolution.
{"title":"Severe hypothyroidism as the cause of rhabdomyolysis and acute kidney injury – a case report","authors":"Adam Rytel, Katarzyna Morawiec, Monika Kukawska-Rytel, Elżbieta Głuch, Stanisław Niemczyk","doi":"10.15557/pimr.2023.0019","DOIUrl":"https://doi.org/10.15557/pimr.2023.0019","url":null,"abstract":"Hypothyroidism is a set of clinical symptoms associated with a deficiency of thyroid hormones. Musculoskeletal symptoms, i.e. stiffness, pain or muscle fatigue, are among the many manifestations of the disorder. Rhabdomyolysis, a syndrome accompanying muscle tissue damage, which leads to acute kidney injury, may be a complication of hypothyroidism. In this paper, we present a case of a 35-year-old patient with hypothyroidism due to Hashimoto’s disease, with a 4-year history of diagnosis for periodic pain and muscle weakness in the lower extremities. The patient presented to the hospital due to the recurring symptoms. One month before admission, she had discontinued thyroid hormone supplementation. Laboratory tests showed unquantifiable low levels of free thyroid hormones, elevated creatine kinase levels, and elevated kidney function parameters. Non-compliance can lead to potentially life-threatening complications in hypothyroid patients. Prompt diagnosis and implementation of treatment can lead to symptom resolution.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: Laryngeal masses are commonly found during patient assessments in the otorhinolaryngology clinic and are almost always associated with a serious pathology, such as a malignancy, rather than a benign condition. In addition, epiglottic masses are often linked to a malignant disorder or granulomatous infection. Case report: Herein, we describe an immunocompromised patient presenting with respiratory distress secondary to an epiglottic mass requiring tracheostomy in view of airway compromise. A repeated histopathological examination revealed methicillin-resistant Staphylococcus aureus, which was successfully eradicated with long-term antibiotics. The tracheostomy was decannulated. Conclusion: We highlight the importance of early measures and interventions to obtain a diagnosis that will aid in patients’ management and recovery.
{"title":"Epiglottic mass mimicking laryngeal carcinoma: a red herring","authors":"Jeeven Velayutham, Jeyasakthy Saniasiaya","doi":"10.15557/pimr.2023.0022","DOIUrl":"https://doi.org/10.15557/pimr.2023.0022","url":null,"abstract":"Aim: Laryngeal masses are commonly found during patient assessments in the otorhinolaryngology clinic and are almost always associated with a serious pathology, such as a malignancy, rather than a benign condition. In addition, epiglottic masses are often linked to a malignant disorder or granulomatous infection. Case report: Herein, we describe an immunocompromised patient presenting with respiratory distress secondary to an epiglottic mass requiring tracheostomy in view of airway compromise. A repeated histopathological examination revealed methicillin-resistant Staphylococcus aureus, which was successfully eradicated with long-term antibiotics. The tracheostomy was decannulated. Conclusion: We highlight the importance of early measures and interventions to obtain a diagnosis that will aid in patients’ management and recovery.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jose Maria Pereira de Godoy, Ana Carolina Pereira de Godoy
The aim of the present study was to report a case of congenital upper limb hypertrophy associated with lymphedema in a child. An eight-year-old girl presented with a history of right upper limb oedema since birth, which was more significant in the hand. Volumetry was performed, revealing 1,838 grams in the right arm and 1,483 grams in the left arm. Intensive treatment with the Godoy method® was proposed. Treatment involved five hours per day using the RAGodoy® device, 15 minutes of cervical lymphatic therapy, and three hours of manual lymphatic therapy per day. With treatment, the volume of the right arm was reduced to 1,663 grams (reduction of 205 grams). After treatment, hypertrophy of the limb was noticed, which had been aggravated by the lymphedema. Congenital hypertrophy of the upper limb is rare in children. Its association with lymphedema has not previously been reported in the literature and could cause diagnostic difficulties.
{"title":"Congenital hypertrophy and lymphedema of the right upper limb in a child","authors":"Jose Maria Pereira de Godoy, Ana Carolina Pereira de Godoy","doi":"10.15557/pimr.2023.0020","DOIUrl":"https://doi.org/10.15557/pimr.2023.0020","url":null,"abstract":"The aim of the present study was to report a case of congenital upper limb hypertrophy associated with lymphedema in a child. An eight-year-old girl presented with a history of right upper limb oedema since birth, which was more significant in the hand. Volumetry was performed, revealing 1,838 grams in the right arm and 1,483 grams in the left arm. Intensive treatment with the Godoy method® was proposed. Treatment involved five hours per day using the RAGodoy® device, 15 minutes of cervical lymphatic therapy, and three hours of manual lymphatic therapy per day. With treatment, the volume of the right arm was reduced to 1,663 grams (reduction of 205 grams). After treatment, hypertrophy of the limb was noticed, which had been aggravated by the lymphedema. Congenital hypertrophy of the upper limb is rare in children. Its association with lymphedema has not previously been reported in the literature and could cause diagnostic difficulties.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magdalena Okarska-Napierała, Katarzyna Karpierz, Przemysław Bombiński, Piotr Majcher, Adam Waszkowski, Ernest Piotr Kuchar
Introduction and objective: Febrile urinary tract infection in a child may be the first manifestation of congenital anomalies of the kidneys and the urinary tract. Renal and bladder ultrasonography remains the first-line imaging modality in children with urinary tract infections. Urinary tract dilation found on ultrasonography prompts further invasive diagnosis; however, when performed in the acute phase of infection, it may potentially reveal misleading findings. Our study investigated whether acute urinary tract infection is associated with urinary tract dilatation and kidney oedema on ultrasonography. Materials and methods: We included 62 children up to 3 years of age with the first episode of febrile urinary tract infection in this prospective cohort study. We performed three ultrasonography examinations in each child: on the first day of the treatment, as well as two and four weeks after treatment onset. We scanned 124 kidneys. Results: The number of kidneys with urinary tract dilation has not significantly changed in consecutive ultrasound examinations. However, both renal length and width increased in the acute phase of urinary tract infection, correlating with symptom duration and C-reactive protein levels, and then subsided within 2–4 weeks. Conclusions: Febrile urinary tract infection does not significantly affect the results of renal and bladder ultrasonography for congenital anomalies of the kidneys and the urinary tract in children up to 3 years old. Kidneys are often involved in children with febrile urinary tract infections. Repeated ultrasound scans before further, more invasive diagnosis are recommended.
{"title":"The impact of childhood febrile urinary tract infection on urinary tract dilation in ultrasonography","authors":"Magdalena Okarska-Napierała, Katarzyna Karpierz, Przemysław Bombiński, Piotr Majcher, Adam Waszkowski, Ernest Piotr Kuchar","doi":"10.15557/pimr.2023.0016","DOIUrl":"https://doi.org/10.15557/pimr.2023.0016","url":null,"abstract":"Introduction and objective: Febrile urinary tract infection in a child may be the first manifestation of congenital anomalies of the kidneys and the urinary tract. Renal and bladder ultrasonography remains the first-line imaging modality in children with urinary tract infections. Urinary tract dilation found on ultrasonography prompts further invasive diagnosis; however, when performed in the acute phase of infection, it may potentially reveal misleading findings. Our study investigated whether acute urinary tract infection is associated with urinary tract dilatation and kidney oedema on ultrasonography. Materials and methods: We included 62 children up to 3 years of age with the first episode of febrile urinary tract infection in this prospective cohort study. We performed three ultrasonography examinations in each child: on the first day of the treatment, as well as two and four weeks after treatment onset. We scanned 124 kidneys. Results: The number of kidneys with urinary tract dilation has not significantly changed in consecutive ultrasound examinations. However, both renal length and width increased in the acute phase of urinary tract infection, correlating with symptom duration and C-reactive protein levels, and then subsided within 2–4 weeks. Conclusions: Febrile urinary tract infection does not significantly affect the results of renal and bladder ultrasonography for congenital anomalies of the kidneys and the urinary tract in children up to 3 years old. Kidneys are often involved in children with febrile urinary tract infections. Repeated ultrasound scans before further, more invasive diagnosis are recommended.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allergic diseases and chronic inflammatory diseases of the respiratory system, such as asthma or chronic rhinosinusitis, continue to pose a real challenge to modern medicine. The causes of the growing problem generated by these diseases is thought to be in the interaction of genes and the environment. In the light of current knowledge, it seems that the environmentally dependent interaction between the airway microbiota ecosystem and the epithelium is able to shape the functions of the local immune system, producing a number of molecular and clinical consequences. In this paper, an attempt was made to describe the role of microbiota composition disorders (dysbiosis) of the upper respiratory tract and allergies in the development of chronić rhinosinusitis in children. The research results obtained in a Polish cohort of young children diagnosed with chronic rhinosinusitis with or without concomitant asthma are summarised. Some of the children presented with features of secondary dysbiosis, which was associated with sensitisation to house dust mite allergens. It was noted that frequent courses of antibiotic therapy correlated with microbiota dysfunction, reducing biodiversity. It was also observed that patients suffering from asthma had specific dysbiosis in the upper respiratory tract. It is characterised by an altered proportion between the main types of bacteria and is expressed by a reduced Patescibacteria/Actinobacteria ratio, constituting an independent factor of asthma in the study group, similar to atopy and reduced perception of the sweet taste. An attempt was also made to identify possible therapeutic and prophylactic interventions to treat and prevent dysbiosis in children suffering from chronic rhinosinusitis.
{"title":"Dysbiosis and allergy as a background of chronic rhinosinusitis in preschool children","authors":"Katarzyna Molińska, Paweł Majak","doi":"10.15557/pimr.2023.0011","DOIUrl":"https://doi.org/10.15557/pimr.2023.0011","url":null,"abstract":"Allergic diseases and chronic inflammatory diseases of the respiratory system, such as asthma or chronic rhinosinusitis, continue to pose a real challenge to modern medicine. The causes of the growing problem generated by these diseases is thought to be in the interaction of genes and the environment. In the light of current knowledge, it seems that the environmentally dependent interaction between the airway microbiota ecosystem and the epithelium is able to shape the functions of the local immune system, producing a number of molecular and clinical consequences. In this paper, an attempt was made to describe the role of microbiota composition disorders (dysbiosis) of the upper respiratory tract and allergies in the development of chronić rhinosinusitis in children. The research results obtained in a Polish cohort of young children diagnosed with chronic rhinosinusitis with or without concomitant asthma are summarised. Some of the children presented with features of secondary dysbiosis, which was associated with sensitisation to house dust mite allergens. It was noted that frequent courses of antibiotic therapy correlated with microbiota dysfunction, reducing biodiversity. It was also observed that patients suffering from asthma had specific dysbiosis in the upper respiratory tract. It is characterised by an altered proportion between the main types of bacteria and is expressed by a reduced Patescibacteria/Actinobacteria ratio, constituting an independent factor of asthma in the study group, similar to atopy and reduced perception of the sweet taste. An attempt was also made to identify possible therapeutic and prophylactic interventions to treat and prevent dysbiosis in children suffering from chronic rhinosinusitis.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Fibromatosis colli is an uncommon congenital infantile tumour occurring in 0.4–1.3% of live births. They are non-malignant, however early detection and treatment are crucial. This is because, if left untreated, fibromatosis colli tumours can cause permanent disfigurements to the skull and spine of the infant. The main aetiology that causes congenital fibromatosis colli is believed to be muscle injury, either intrauterine or during childbirth. A common symptom of congenital fibromatosis colli is head tilting toward the affected side. Case report: This case report discusses the management of an 82-day-old infant with fibromatosis colli. Discussion: Clinical examination including palpation and examination of the range of movement of the sternocleidomastoid muscle is the key to diagnosing fibromatosis colli. Early physiotherapy represents the first-line treatment in affected infants.
{"title":"Congenital torticollis in an infant","authors":"Priyantha Pang, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah","doi":"10.15557/pimr.2023.0023","DOIUrl":"https://doi.org/10.15557/pimr.2023.0023","url":null,"abstract":"Introduction: Fibromatosis colli is an uncommon congenital infantile tumour occurring in 0.4–1.3% of live births. They are non-malignant, however early detection and treatment are crucial. This is because, if left untreated, fibromatosis colli tumours can cause permanent disfigurements to the skull and spine of the infant. The main aetiology that causes congenital fibromatosis colli is believed to be muscle injury, either intrauterine or during childbirth. A common symptom of congenital fibromatosis colli is head tilting toward the affected side. Case report: This case report discusses the management of an 82-day-old infant with fibromatosis colli. Discussion: Clinical examination including palpation and examination of the range of movement of the sternocleidomastoid muscle is the key to diagnosing fibromatosis colli. Early physiotherapy represents the first-line treatment in affected infants.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction and objective: Chronic rhinosinusitis is often diagnosed in the paediatric population. The pathogenesis of the condition is a complex and not fully understood process involving disorders of the immune system, allergies, and environmental and social aspects. The study aimed to determine the clinical, immunological, and microbiological factors influencing the clinical course of chronic rhinosinusitis in preschool and early school-age children. Materials and methods: This cross-sectional study included one hundred and eleven children aged 4–8 years, with chronic rhinosinusitis diagnosed by otolaryngologists. The following procedures were performed in each patient: a standardised SN-5 (Sinus and Nasal Quality of Life Survey) questionnaire, a questionnaire evaluating the applied treatment, skin prick tests with inhaled allergens, and nasopharyngeal swab for microbiome analysis. Results: The univariate regression analysis found that children who had previously attended nursery, children who were allergic to perennial allergens and house dust mites, and children with atopy, demonstrated more severe symptoms of chronic rhinosinusitis (SN-5 >3.6 pts). The multivariate model confirmed that the only independent factor for a more severe course of chronic rhinosinusitis (odds ratio, OR = 4.1; 95% confidence interval, 95% CI: 1.4–11.9; p = 0.007) was the children’s allergy to house dust mites. Conclusions: House dust mite allergy may increase the severity of chronic rhinosinusitis in young children, which justifies an attempt to implement additional recommendations for the treatment of allergic inflammation.
{"title":"House dust mite allergy may increase the severity of chronic rhinosinusitis in preschool and early school-age children","authors":"Katarzyna Molińska, Marta Latek, Paweł Majak","doi":"10.15557/pimr.2023.0013","DOIUrl":"https://doi.org/10.15557/pimr.2023.0013","url":null,"abstract":"Introduction and objective: Chronic rhinosinusitis is often diagnosed in the paediatric population. The pathogenesis of the condition is a complex and not fully understood process involving disorders of the immune system, allergies, and environmental and social aspects. The study aimed to determine the clinical, immunological, and microbiological factors influencing the clinical course of chronic rhinosinusitis in preschool and early school-age children. Materials and methods: This cross-sectional study included one hundred and eleven children aged 4–8 years, with chronic rhinosinusitis diagnosed by otolaryngologists. The following procedures were performed in each patient: a standardised SN-5 (Sinus and Nasal Quality of Life Survey) questionnaire, a questionnaire evaluating the applied treatment, skin prick tests with inhaled allergens, and nasopharyngeal swab for microbiome analysis. Results: The univariate regression analysis found that children who had previously attended nursery, children who were allergic to perennial allergens and house dust mites, and children with atopy, demonstrated more severe symptoms of chronic rhinosinusitis (SN-5 >3.6 pts). The multivariate model confirmed that the only independent factor for a more severe course of chronic rhinosinusitis (odds ratio, OR = 4.1; 95% confidence interval, 95% CI: 1.4–11.9; p = 0.007) was the children’s allergy to house dust mites. Conclusions: House dust mite allergy may increase the severity of chronic rhinosinusitis in young children, which justifies an attempt to implement additional recommendations for the treatment of allergic inflammation.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors present two cases of ureteral valves. This rare urinary tract defect, causing abnormal urine flow from the upper urinary tract, is usually diagnosed intraoperatively. A 15-year-old girl with renal colic was admitted to hospital. Abdominal ultrasonography showed pelvicalyceal dilation in the right kidney and the X-ray showed a shadow in the orifice of the left ureter. She underwent bilateral ureterorenoscopy. A left ureteral valve was visualised during the examination. A 13-year-old boy was admitted to the Department of Surgery due to pelvicalyceal and left ureteral dilatation. Based on imaging and clinical findings, both patients underwent surgical treatment. Valves were found in the distal part of the left ureters. They were resected and the ureters were transplanted. Histopathological examination showed the presence of smooth muscle in the folds of the valve, confirming the final diagnosis.
{"title":"Congenital ureteral valve as a diagnostically challenging congenital ureteral defect","authors":"Joanna Cybulska, Beata Jurkiewicz, Joanna Samotyjek","doi":"10.15557/pimr.2023.0018","DOIUrl":"https://doi.org/10.15557/pimr.2023.0018","url":null,"abstract":"The authors present two cases of ureteral valves. This rare urinary tract defect, causing abnormal urine flow from the upper urinary tract, is usually diagnosed intraoperatively. A 15-year-old girl with renal colic was admitted to hospital. Abdominal ultrasonography showed pelvicalyceal dilation in the right kidney and the X-ray showed a shadow in the orifice of the left ureter. She underwent bilateral ureterorenoscopy. A left ureteral valve was visualised during the examination. A 13-year-old boy was admitted to the Department of Surgery due to pelvicalyceal and left ureteral dilatation. Based on imaging and clinical findings, both patients underwent surgical treatment. Valves were found in the distal part of the left ureters. They were resected and the ureters were transplanted. Histopathological examination showed the presence of smooth muscle in the folds of the valve, confirming the final diagnosis.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Influenza is an acute viral disease of the respiratory system. Its course can be complicated, particularly in seniors, young children or patients with chronic conditions. Common complications include pneumonia, exacerbation of chronic diseases, heart muscle involvement, and neurologic disorders. This paper analyses the frequency and factors contributing to the development of influenza complications in primary healthcare patients. Materials and methods: The study enrolled a total of 631 adult patients who visited a family physician complaining of respiratory tract infections from January 2019 to April 2020 in the Family Doctor’s Clinic in Gostyń, Greater Poland Province. Of them, 90 patients were diagnosed with influenza. The data sources included patient interviews, physical examinations, results of additional tests, and the patients’ medical files. The diagnosis of influenza was based on the accepted clinical criteria, i.e. a sudden onset of fever + ≥1 clinical symptom in the respiratory system + ≥1 general systemic symptom, lasting <72 hours and confirmed with an Actim Influenza A&B test (Medix Biochemica). Results: Complications of influenza were noted in 13 patients (14%), compared to 77 uncomplicated cases. Four patients required hospital admission. The diagnosed complications included secondary bacterial infection of the lower respiratory tract (61%), exacerbation of chronic diseases (31%), and myocarditis (8%). In logistic regression analysis, asphyxia, wheezing, and crackles were linked to a higher risk of complicated influenza. Conclusions: Complicated influenza occurs significantly more often in patients with multiple comorbidities, including obesity, thyroid diseases, and liver diseases. Clinical symptoms related to the risk of complications include asphyxia, wheezing, and crackles.
{"title":"Influenza complications among patients attending family practitioner practice","authors":"Aneta Elżbieta Rzepka, A. Mania","doi":"10.15557/pimr.2023.0006","DOIUrl":"https://doi.org/10.15557/pimr.2023.0006","url":null,"abstract":"Introduction: Influenza is an acute viral disease of the respiratory system. Its course can be complicated, particularly in seniors, young children or patients with chronic conditions. Common complications include pneumonia, exacerbation of chronic diseases, heart muscle involvement, and neurologic disorders. This paper analyses the frequency and factors contributing to the development of influenza complications in primary healthcare patients. Materials and methods: The study enrolled a total of 631 adult patients who visited a family physician complaining of respiratory tract infections from January 2019 to April 2020 in the Family Doctor’s Clinic in Gostyń, Greater Poland Province. Of them, 90 patients were diagnosed with influenza. The data sources included patient interviews, physical examinations, results of additional tests, and the patients’ medical files. The diagnosis of influenza was based on the accepted clinical criteria, i.e. a sudden onset of fever + ≥1 clinical symptom in the respiratory system + ≥1 general systemic symptom, lasting <72 hours and confirmed with an Actim Influenza A&B test (Medix Biochemica). Results: Complications of influenza were noted in 13 patients (14%), compared to 77 uncomplicated cases. Four patients required hospital admission. The diagnosed complications included secondary bacterial infection of the lower respiratory tract (61%), exacerbation of chronic diseases (31%), and myocarditis (8%). In logistic regression analysis, asphyxia, wheezing, and crackles were linked to a higher risk of complicated influenza. Conclusions: Complicated influenza occurs significantly more often in patients with multiple comorbidities, including obesity, thyroid diseases, and liver diseases. Clinical symptoms related to the risk of complications include asphyxia, wheezing, and crackles.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46481899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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