The association of specific dermatological complications with diabetes mellitus is well recognized. Of 100 hospital-based patients with diabetes mellitus (age 48 years +/- 2SE), 14% had scleroedema diabeticorum. The affected subjects had a higher prevalence of retinopathy (p less than 0.001) and albuminuria (p less than 0.025). The duration of scleroedema correlated with the duration of diabetes (p less than 0.005). These findings highlight the relatively common occurrence of this skin condition which often goes unrecognized in people with diabetes.
We report the case of giant pneumatocele due to an incomplete treatment of neonatal pneumonia in a 45-day infant. Two pneumatoceles were formed in the seventh day of pneumonia previously treated for 2 days, and none of them was under tension; however, the size gradually increased. The patient remained asymptomatic. All cultures taken failed to isolate the causing bacteria. Intravenous antibiotics resulted in a successful treatment. The purpose of this case is to highlight the importance of adequate treatment when neonatal pneumonia is highly suspected with normal radiological findings, to search for pneumatoceles as a complication of inadequately treated pneumonia and to rule out congenital malformations in case of pulmonary cyst.
A worldwide re-emergence of tuberculosis in infants has been observed during the last decade. Endothoracic tuberculosis predominates. However, few studies of infants with tuberculosis appear in the recent literature. As early diagnosis and treatment appear to prevent complications and reduce mortality, pediatricians should be alert for tuberculosis in infants with an atypical picture suggestive of infection. We report a 5-month-old Lebanese female infant, living in Abidjan, who presented first with non-productive cough treated as pneumonia without clinical improvement, and diagnosed later on as primary tuberculosis. This case highlights the rare presentation of tuberculosis in infancy and the co-infection of respiratory syncytial virus. We describe the features, clinical diagnosis, and management of this case.
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