Unilateral facial nerve palsy is rarely encountered in Guillain-Barré syndrome (GBS). We report a case of an adolescent girl who presented with peripheral ascending weakness, preceded byCampylobacter jejuniinfection. After treatment with intravenous immunoglobulin, the peripheral weakness improved. Electro-diagnostic testing confirmed axonal dysfunction and the patient was positive for antiganglioside antibodies. However, the patient developed unilateral left-sided facial weakness. She was managed with further intravenous immunoglobulin and intensive physiotherapy. The outcome for facial palsy was very good, with almost complete resolution after 2 weeks.
A case of bilateral paralysis of the soft palate occurring in a 42-year-old patient is presented.Idiopathic paralysis of the soft palate as an isolated clinical entity was first described by Edin et al. 1976. Since then 22 similar cases have been reported, all in children and all unilateral.A search of the English language literature has not revealed a case of bilateral palatal palsy in an adult.
base excess before the onset of clinical signs and symptoms of sepsis indicate infection in the early diagnosis of neonatal sepsis. Methods A total of 118 infants were enrolled. The infants were classified into two groups: group 1 (sepsis, n = 49) and group 2 (control, n = 69). Blood gas analysis investigated for screening of neonatal sepsis. Results A total of 49 infants with neonatal sepsis and 69 healthy controls were enrolled. A comparison of markers of sepsis revealed C-reactive protein, interleukin-6 level to be significantly higher and pH, pCO 2 , HCO 3 and base excess values to be significantly lower in newborns with sepsis compared healthy controls (p < 0.01). The optimum cut-off value in the diagnosis of neonatal sepsis was found to be -5 mmol/L for base excess. Sensitivity, specificity, positive predictive value and negative predictive value of this base excess cut-off for neonatal sepsis were 75, 91, 86 and 84% respectively. Conclusions This is the first study to determine the relationship between the decrease value of base excess and early stage of neonatal sepsis. If the value of base excess <-5 mmol/L without an underlying another reason, may need close follow up of infants for neonatal sepsis and it may help early diagnosis.
Background and aim Osteomyelitis is an inflammation of the bone that is usually due to bacterial infection. There are limited data on osteoarticular infections in the state of Qatar. The objectives of this study were to describe the demographic, clinical presentation and microbiological culture result of acute osteomyelitis in children Methods Aretrospective and descriptive study was conducted at main tertiary hospital. Children hospitalised in our paediatric department with acute osteomyelitis from January 2000 to December 2013 were included. Results The study comprised 79 patients. Mean age of presentation was (5.7) years and (62%) were male. (91%) had acute osteomyelitis whereas (9%) were classified as chronic. most common bones affected were Femur (39.2%), Tibia (15.2%) followed by Foot (11.4%) and iliac bone (10.1%). Fever higher than 38°on admission was found in (65.8%), joint pain (60.8%) and limping (45.6%). Tenderness on examination was present in (82.3%) followed by joint swelling (59.5%) and restricted joint movement (55.7%). Nearly (69%) of Blood culture were negative. the most causative organisms were methicillin-susceptible Staphylococcus aureus (9.1%), methicillin-resistant Staphylococcus aureus (9.1%) and Strep Pyognes in (3.9%). Conclusion Our study confirmed that Microbiology screening tends to be negative but, if positive, Staphylococcus species is likely to be isolated. the metaphysis of long bones lower femur and upper tibiaprone to osteomyelitis. Mono-therapy for bone infection might be beneficial to start initially.
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