scholarly journals Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Arash Calafi ◽  
Alton W. Skaggs ◽  
Trevor J. Shelton ◽  
Brian M. Haus
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Femoral Head ◽  
Pediatric Patient ◽  
Acetabular Dysplasia ◽  
Pediatric Patients ◽  
Similar Case ◽  
Hip Pain ◽  
Complete Destruction ◽  
Hip Disease

We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head and dislocated right femoral head. The authors have not identified literature describing a similar case report of bilateral femoral head destruction resulting from Persistent Oligoarticular JIA. Pediatric patients presenting with rapidly evolving destructive process should be evaluated for rheumatologic, infectious, and spinal etiologies.

scholarly journals Subchondral fracture of the femoral head in children: Differential diagnosis of pediatric hip pain

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902093786
Author(s):  
Ryosuke Yamaguchi ◽  
Tomoyuki Nakamura ◽  
Takuaki Yamamoto ◽  
Kazuyuki Takamura ◽  
Haruhisa Yanagida ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Femoral Head ◽  
Pediatric Patients ◽  
Clinical Course ◽  
Hip Pain ◽  
Complete Disappearance ◽  
Resonance Imaging ◽  
Presumptive Diagnosis ◽  
Subchondral Fracture ◽  
Contrast Enhanced

This report describes clinical and radiographic characteristics of two pediatric patients with a presumptive diagnosis of subchondral fracture of the femoral head made based on their clinical course and imaging findings. An 8-year-old boy and an 8-year-old girl had subchondral fracture in the femoral head without osteonecrosis, which was verified by contrast-enhanced magnetic resonance imaging. Although complete disappearance of the fracture line was confirmed in the boy, the girl had a residual femoral head deformity after conservative treatment. Subchondral fracture of the femoral head should be included in the differential diagnosis of pediatric hip pain.

scholarly journals Case Report: Pediatric Patient with COVID-19 and Multisystem Inflammatory Syndrome in Children

2020 ◽  
Vol 4 (4) ◽  
pp. 513-516
Author(s):  
MacKenzie Burger ◽  
Marcus Moore ◽  
John Wilburn
Keyword(s):  
Case Report ◽  
Risk Stratification ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Signs And Symptoms ◽  
Unique Case ◽  
Venoarterial Extracorporeal Membrane Oxygenation ◽  
Inflammatory Syndrome

Introduction: Coronavirus disease 2019 (COVID-19) rarely manifests with severe complications in pediatric patients. An association between COVID-19 and a Kawasaki-like inflammatory syndrome has recently presented in pediatric patients. Case Report: We report a unique case of multisystem inflammatory syndrome in children presenting with characteristic findings in a child who later developed cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation. Conclusion: Recognition of these early signs and symptoms facilitates screening and risk stratification of pediatric COVID-19 cases associated with increased morbidity.

scholarly journals A case report of male breast cancer in a 14-year-old patient

2021 ◽  
Author(s):  
Pande Ayu Kirana Dewi ◽  
I. Nengah Raditha
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Mortality Rate ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Invasive Carcinoma ◽  
Cancer Breast ◽  
History Of ◽  
Breast Cancer In Men ◽  
Histopathology Examination

Breast cancer is one of the most common malignancies. This malignancy can originate from the epithelium of the ducts or lobules of the breast. Although rare, breast cancer can also be found in men. The incidence of breast cancer in men is <1% of the total breast cancer and it is estimated that 1 in 100.00 men worldwide is diagnosed with breast cancer. Breast cancer in pediatric patients is rare. Incidence of breast cancer in pediatric is estimated to be 0.2-0.8/100.000 for females with less than 20 years old. In this case report is a 14-years-old male with ten years history of a mass in his right breast. At first the mass was said to be as small as a marble, then since last year the mass have grown bigger. Biopsy and histopathology examination were performed to confirm the diagnosis. The result of histopathology examination was ductal invasive carcinoma. The patient and family refused to undergo chemotherapy. The incidence of breast cancer in pediatric is rare, and it has high mortality rate in pediatric patient.

Recurrent Hemoptysis: A Bronchial Dieulafoy’s Lesion in a Pediatric Patient

2020 ◽  
pp. 000348942096213
Author(s):  
Jeremy S. Ruthberg ◽  
Anish Abrol ◽  
N. Scott Howard
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Stable Condition ◽  
Selective Embolization ◽  
Dieulafoy’S Lesion ◽  
Tertiary Center ◽  
Pediatric Pulmonology ◽  
The Right

Objective: This paper presents a case of a bronchial Dieulafoy’s lesion in a pediatric patient with recurrent hemoptysis. Case report: A 11-year old female presented multiple times with dry cough and hemoptysis to an outside hospital, each time leading to a diagnosis of epistaxis and subsequent discharge. When she arrived to our tertiary center with heavy hemoptysis and no evidence of epistaxis, the patient was urgently taken to the operating room by both the otolaryngology and pediatric pulmonology services. Active bleeding from a Dieulafoy’s lesion on the right lower bronchus was found and selective embolization of two tortuous arteries was subsequently performed. The patient was discharged in stable condition without recurrence of hemoptysis over the last two months. Conclusion: While rare, especially in pediatric patients, bronchial Dieulafoy’s lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.

scholarly journals A Near Brush with Death: A Case Report on Oral Foreign Body Impalement

2019 ◽  
Vol 2 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Rachel Christner ◽  
Marisa Homer ◽  
Oliver Atar ◽  
Brian Hynes
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Emergency Room ◽  
Operating Room ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Conscious Sedation ◽  
Upper Airway

We describe a case of an 11-month-old baby presenting to the emergency room with a foreign body in the upper airway. After unsuccessfully attempting to remove the foreign body in the emergency department, the otolaryngologist was consulted. The patient was taken to the operating room, and a comb was successfully removed under conscious sedation. This case illustrates the need of a well-considered strategy for managing the airway of a pediatric patient with a foreign body, while also demonstrating the unique challenges of treating pediatric patients.

A Case Report of Combined Ultrasound and Fluoroscopic-Guided Percutaneous Radiofrequency Lesioning of the Obturator and Femoral Articular Branches in the Treatment of Persistent Hip Pain in a Pediatric Patient

Pain Practice ◽  
2018 ◽  
Vol 19 (1) ◽  
pp. 52-56 ◽  
Author(s):  
James S. Khan ◽  
Elliot J. Krane ◽  
Maureen Higgs ◽  
Scott Pritzlaff ◽  
Scott Hoffinger ◽  
...  
Keyword(s):  
Case Report ◽  
Pediatric Patient ◽  
Hip Pain

Using ketamine in a pediatric patient with a pain crisis in juvenile idiopathic arthritis. A case report

2018 ◽  
Vol 46 ◽  
pp. 69-72
Author(s):  
Cristina Posada-Giraldo ◽  
María Alejandra Herrera-Mondragón ◽  
William Henry Joaquí-Tapia
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Pediatric Patient ◽  
Pain Crisis

scholarly journals Postural correction reduces hip pain in adult with acetabular dysplasia: A case report

2015 ◽  
Vol 20 (3) ◽  
pp. 508-512 ◽  
Author(s):  
Cara L. Lewis ◽  
Anne Khuu ◽  
Lee N. Marinko
Keyword(s):  
Case Report ◽  
Acetabular Dysplasia ◽  
Hip Pain ◽  
Postural Correction

scholarly journals Disulfiram-like Reaction Involving Ceftriaxone in a Pediatric Patient

2018 ◽  
Vol 23 (2) ◽  
pp. 168-171 ◽  
Author(s):  
Stephen M. Small ◽  
Rachel S. Bacher ◽  
Sheridan A. Jost
Keyword(s):  
Case Report ◽  
Adverse Effects ◽  
Pediatric Patient ◽  
Asthma Exacerbation ◽  
Pediatric Patients ◽  
Community Acquired Pneumonia ◽  
Hypersensitivity Reactions ◽  
Potential Drug ◽  
Facial Flushing ◽  
Cephalosporin Antibiotics

Several medications have been shown to cause disulfiram-like reactions in patients concomitantly exposed to ethanol, including specific cephalosporin antibiotics that possess a methylthiotetrazole substituent. Within the cephalosporin class, there are few reports of disulfiram-like reactions with ceftriaxone. This case report is the first to involve a pediatric patient, and it describes a mild but likely disulfiram-like reaction manifesting as facial flushing in an 8-year-old male upon receiving a ceftriaxone infusion preceded by a dose of prednisolone elixir (5% ethanol by volume) for presumed community-acquired pneumonia thought to be complicated by an asthma exacerbation. The patient's flushing resolved with intravenous diphenhydramine, did not reappear, and was diagnosed as an allergy to ceftriaxone. Upon further evaluation, a hypersensitivity reaction was considered unlikely, and the allergy history was revised. The patient's antibiotic treatment was switched to azithromycin without steroids, and he had no further issues. This case suggests there is benefit in increased monitoring of pediatric patients receiving certain cephalosporins along with alcohol-containing medications, and it demonstrates how disulfiram reactions can easily be misinterpreted as hypersensitivity reactions. Aside from just alcohol-cephalosporin interactions, this case underscores the need for general vigilance when using alcohol-containing drug preparations in pediatric patients in an effort to prevent adverse effects and potential drug interactions.

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