Febbraio 2001 - Volume XX - numero 2
Pagine elettroniche
1Pediatra di libera scelta; 2Istituto di Epidemiologia, Biostatistica, Informatica Medica, Erasmus University, Rotterdam; 3Società Servizi Telematici, Padova; 4Glaxo-Wellcome, Verona; 5CNR/ITBA, Milano; 6Dipartimento di Pediatria, Università di Padova
Key words: Respiratory infections, Influenza, Epidemiology
In one semester, a group of 17 operating paediatricians of the Veneto Region, co-related in a network, carried out a perspective study on the incidence, clinical characteristics, costs, and treatment of acute respiratory infections (IRA) on a total population of 16.760 children. In this period of time 3242 children were visited for a total of 4017 episodes. In 1003 cases, a swab to reveal the Influenza virus was made. It resulted positive in 1/3 cases, featuring a significant association with a longer duration of fever. The percentage of hospitalisations (1.2%), loss of working days for parents (11%), and the use of antibiotics (32%), weigh in a relatively moderate way.
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Clinica Pediatrica IV, Azienda Ospedaliera - Polo Universitario L. Sacco, Milano
Key words: Hyponatremic Coma, siADH, Suprarenal gland, Hydrocortisone
Case description of deep hyponatremic coma (115 mEq/l), with ischaemic focus in left parietal, which lasted over 24 hours and returned almost to normality (persistence of slowing down of speech) within 10 days. This episode followed a bilateral inguinal hernia surgery (with ovary in the hernial sack) in a 4-year old girl, without recognisable risk factors. No urinary hyperosmolarity was demonstrated, but only a high presence of sodium with a following increase of the urinary Na/K combination. The high presence of sodium (and coma) responded to the intravenous provision of hydrocortisone. Rather than a syndrome related to inappropriate ADH secretion, this case seems to be referable to suprarenal insufficiency. The concomitance with bilateral inguinal hernia (rare in girls) suggests a severe disendocrine condition.
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