Based on case history and clinical and electrophysiological examinations, the authors report on a case of an 8-year-old girl who was diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy. The disease was complicated by deafness and kidney fibrosis. During treatment with methylprednisolone and intravenous immunoglobulin, followed by mycophenolate mofetil, prompt improvement of neurological findings occurred. The improvement of hearing was poor. Because the pathogenesis of chronic inflammatory demyelinating polyradiculoneuropathy has still not been clear, and on the grounds of several cases of chronic inflammatory demyelinating polyradiculoneuropathy conjoined with the kidney disease described in literature (glomerulopathy, interstitial nephritis), every patient with chronic inflammatory demyelinating polyradiculoneuropathy needs to undergo the urinalyses.
The case of intrauterine idiopathic bladder rupture with consecutive urinary ascites is presented. Conservative management resulted in complete resolution of the lesion.
Acute renal failure frequently occurs in population of premature neonates and requires meticulous fluid and electrolyte balance, especially in the case of low birth weight and extreme immaturity.
A case of transient hyperammonemia of the newborn (THAN) is described in this paper. THAN is the disorder that is much more frequently present than diagnosed. Therefore, it is necessary to estimate the serum ammonia level in every preterm newborn infant, who develops the signs of respiratory distress syndrome in the first hours of life, along with the symptoms of hyperammonemia (lethargy, hypotonia, seizures, and coma). Dialysis proved the most effective treatment.
Introduction/Objective. The proportion of live-born infants conceived with
assisted reproductive technologies (ART) in some European countries reaches
6% and in Serbia over 1%. The aim of this study was to analyze
characteristics and morbidity of prematurely born newborns conceived with
ART. Methods. The study included 154 prematurely born newborns from
pregnancies conceived with ART and 154 prematurely born newborns conceived
naturally hospitalized at the Institute of Health Care of Children and
Adolescents of Vojvodina. Participants from both groups were matched
according to gestational age and date of birth. Results. Statistically
significantly more newborns with very low birth weight have been in group of
newborns conceived by ART in comparison to newborns conceived naturally (?2
test, p = 0.0002). Morbidity of newborns conceived with ART is not higher in
comparison to newborns of the same gestational age conceived naturally.
Bronchopulmonary dysplasia, occurred more frequently in children from ART (?2
test, p = 0.006) and retinopathy of prematurity, occurred more frequently in
children spontaneously conceived. (?2 test, p = 0.047). There was no
difference in the frequency of birth defects, genetic syndromes and inborn
errors of metabolism between two groups. Conclusion. Lower birth weight and
intrauterine growth restriction are potential risk factors for worse
postnatal outcome in newborns from pregnancies conceived with ART.
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