Renal involvement is a fairly frequent development in children with acute lymphoblastic leukemia, but palpable renal enlargement at time of diagnosis is very unusual. We report the case of a young girl who presented with enlarged kidneys and was diagnosed with this form of leukemia. This case is of interest because of the rarity of this presentation. The importance of renal biopsy in identifying the etiology of this patient's nephromegaly is emphasized.
Breast milk may contain pathogenic bacteria, even when expressed, stored and transported properly. When evaluating the source of a S. aureus infection in preterm infants, breast milk might be the source of the infection, even if the mother has no sign of mastitis.
While new pharmacological approaches have been demonstrated to effectively manage PH in adults, few reports have addressed PH treatment in neonates and infants. This case report describes the successful management of severe PH secondary to bronchopulmonary dysplasia, respiratory syncytial virus infection, and hypoxia in a preterm 4-month-old with the long-term use of orally administered sildenafil and inhaled iloprost.
Non immune hydrops fetalis is defined as the excessive accumulation of fluid in two or more compartments of the fetus in the absence of any maternal-fetal blood incompatibility. The clinical presentations include ascites, scalp edema, pleural or pericardial effusions and polyhydramnios. Perinatal mortality in this severe clinical condition is high, between 50-98%. Prematurity is an important risk factor for mortality. Despite many advances in diagnosis, therapy and ventilation management during the last decade in neonatal intensive care units, the mortality rate has not changed very much for hydropic infants. This is the report of the management of two premature infants bom severely hydropic. The first infant had tachyarrhythmia, the second infant had Noonan syndrome. Both infants had a good prognosis.
ÖZETNon immun hidrops fetalis arme ve bebek arasmda kan uyuçmazligi olmaksizin fetüsde iki veya daha fazla viicut boçlugunda fazla sivi birikmesi olarak tammlanir. Asit, saçli deride ödem, plevral ve perikardiyal etuzyon ve polihidramnios klinik tabloyu oluçturur. Bu agir klinik tabloda perinatal mortalité %50-98 arasmda yüksektir. Premature dogum mortalité için önemli bir risk faktörüdür. Yenidogan yogun bakim iinitelerinde son on yilda tam, tedavi ve ventilasyon uygulamalarindaki geliçmelere ragmen, hidropik bebeklerde mortalité oranlan fazla degiçmemiçtir. Bu yazida hidropik dogan iki premature bebegin takibi sunulmuçtur. Birinci olguda fetal taçiaritmiye, ikinci olguda Noonan sendromuna bagli non immun hidrops fetalis geliçmiçtir. íki vakada da prognoz iyi olmuçtur.Anahtar kelimeler: Non immun hidrops fetalis. Fetal taçiaritmi, Noonan sendromu
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