Hemothorax and Hematocele: Unusual Presentations of Vitamin K Deficiency Bleeding Disorder

Aggarwal, Varun; Mishra, Kirtisudha; Rath, Bimbadhar; Chaudhary, Swati; Kumar, Praveen

doi:10.1007/s12098-012-0750-8

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…Kerosene poisoning was the most common accidental poisoning in children. [ 7 ] Similar results were obtained in other studies done in urban areas of India. Contrary to this, studies from rural India by Bhat NK et al ., in 2011, found that insecticide is the most common cause of poisoning in children.…”

Section: Introductionsupporting

confidence: 88%

“…Poisoning is found to be more common in children among the age group 1–5 years, as it was reported by Indian workers like Brata Ghosh et al ., NK Bhat et al ., U Kohli et al . [ 7 8 10 ] and similarly by KP Dawson et al ., N Andiran et al ., S Budhathoki et al . [ 11 12 13 ] Similar results were obtained in our study where this age group had 77% of poisoning incidences.…”

Section: Discussionmentioning

confidence: 64%

“…have reported kerosene to be the most commonly encountered agent in urban areas and overall incidence too. [ 7 10 16 ] Although studies from the rural part of India done by NK Bhat et al . reported insecticides to be the most common agent causing acute childhood poisonings.…”

Section: Discussionmentioning

confidence: 99%

“…and Brata Ghosh et al . [ 7 10 16 ] it could be assumed that most of the poisonous agents encountered in childhood are liquid in nature. This observation can be explained by the fact that liquids are easily ingested and in larger doses as compared to solids or powders.…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile of poisoning due to various poisons in children of age 0–12 years

Saikia

Sharma

Janardhan

2020

J Family Med Prim Care

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Background: Majority of childhood poisonings are unintentional. The incidence of poisoning in children has been shown to be reduced by a significant amount. But to develop effective prevention strategies, the state health care planners need better information on the number and types of poisonings, circumstances in which they occur, and how serious the problem is. Objective: To study the clinical profile of poisoning in children. Methods: A hospital-based cross-sectional study was carried out among children aged 0–12 years with the history of poisoning. Detailed history, clinical examination, and details of poisoning was obtained. Data was analyzed using proportions. Results: Majority (77.8%) belonged to the age group of 1–5 years and were males (65.4%). Household chemicals were ingested in 83 cases out of 153, (54.25%) and in 147 cases (96.1%), poisonous substance was easily accessible to victim. In 144 out of 153 cases (94.1%), poisonous substance was accidentally ingested by the child itself, 131 out of 153 cases (85.6%) occurred at home, while 18 (11.8%) cases occurred in home surroundings. Of the 153 cases, 2 patients (1.3%) presented with the history of diarrhoea, 12 patients (7.8%) in altered sensorium, 6 patients (3.9%) had fever, 16 patients (10.5%) presented with cough, 37 patients (24.2%) presented with excessive secretions from mouth. 31 patients (20.3%) presented with vomiting without blood staining and 12 patients (7.8%) had blood stained vomiting as their chief complaint. Mucosal injury was noted in 41 cases (26.8%). Conclusion: Poisoning was common in males. Household chemical was most commonly ingested. Majority children had domestic poisoning and self-unintentional.

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Section: Introductionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical profile of poisoning due to various poisons in children of age 0–12 years

Saikia

Sharma

Janardhan

2020

J Family Med Prim Care

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Delayed Vitamin K Deficiency Related Bleeding: Is it Genetically Linked?

et al. 2013

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Refusal of Intramuscular Vitamin K by Parents of Newborns: A Review

Loyal

Shapiro

2020

Hospital Pediatrics

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In 2019, the American Academy of Pediatrics made public education about intramuscular vitamin K administration at birth a public health priority, partly in response to reports of refusal of intramuscular vitamin K by parents of newborns that led to vitamin K deficiency bleeding (VKDB). We reviewed the literature on the frequency of, reported reasons for, and factors associated with refusal of intramuscular vitamin K, incidence of VKDB in newborns who did not receive intramuscular vitamin K, and use of oral vitamin K to prevent VKDB. Without prophylaxis, estimates of the incidence per 100 000 births of VKDB range from 250 to 1700 for early VKDB and from 10.5 to 80 for late VKDB. The frequency of refusal of intramuscular vitamin K by parents ranged from 0% to 3.2% in US hospitals, up to 14.5% in home births, and up to 31.0% in birthing centers. Reported reasons for refusal were concern of harm from the injection, a desire to be natural, and a belief in alternative methods of prophylaxis. Parents who refused intramuscular vitamin K were more likely to refuse immunizations. Many different regimens were used for orally administered vitamin K; it is not clear which is best, but all are less effective than intramuscular vitamin K. VKDB is rare but can result in either neurologic sequelae or death. In addition to continued surveillance of the frequency of both refusal of intramuscular vitamin K and VKDB, a renewed focus on education of and collaboration with parents is needed to address this major public health threat.

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Hemothorax and Hematocele: Unusual Presentations of Vitamin K Deficiency Bleeding Disorder

Cited by 3 publications

References 3 publications

Clinical profile of poisoning due to various poisons in children of age 0–12 years

Clinical profile of poisoning due to various poisons in children of age 0–12 years

Delayed Vitamin K Deficiency Related Bleeding: Is it Genetically Linked?

Refusal of Intramuscular Vitamin K by Parents of Newborns: A Review

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