Aprile 2014 - Volume XXXIII - numero 4
Pagine elettroniche
UO di Pediatria e Terapia Intensiva Pediatrica-Neonatale, Ospedale M. Bufalini, Cesena, AUSL della Romagna
Indirizzo per corrispondenza: martino_marsciani@yahoo.it
Key words: Nephrotic syndrome, Cerebral thrombosis
Idiopathic nephrotic syndrome is a disease characterized by proteinuria over 40 mg/m2/hr, hypoalbuminemia, edema and hyperlipemia. Its incidence is 2-3 cases per 100,000 children per year. The response to steroid therapy is expected in 90% of children in the first 5 week of treatment. Thromboembolic events represent a rare complication during childhood and their incidence is 2-3%. The vagueness of the symptoms may the diagnosis rather difficult. We report a case with this serious complication appeared few days after clinical remission.
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Pagine elettroniche
UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
1Scuola di Specializzazione in Pediatria, Università di Ferrara
Indirizzo per corrispondenza: federico.marchetti@ausl.ra.it
Key words: Primary sternal osteomyelitis, Kingella kingae, Children
Primary sternal osteomyelitis cases are rare. The etiological agents are those of osteomyelitis. In the case presented the hypothetical diagnosis was osteomyelitis caused by Kingella kingae, a pathogenic bacterium that is a frequent cause of osteomyelitis in children. Such a hypothetical diagnosis should be made if the age is < 3-4 years, the general physical conditions are not compromised, there is no fever or low fever and if laboratory analyses are scarcely significant. At present it is possible to identify the bacterium through targeted analyses of specific real-time polymerase chain reaction.
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