Cases reported "Diarrhea, Infantile"

Filter by keywords:



Filtering documents. Please wait...

1/8. tissue plasminogen activator for the treatment of intraabdominal abscesses in a neonate.

    fibrinolytic agents have been used successfully in the management of loculated empyema; however, their use in the treatment of intraabdominal abscesses is limited. The authors describe the case of a 4-week-old girl with intraabdominal abscesses secondary to intestinal perforation that were not amenable to percutaneous drainage, but were managed successfully with intracavitary administration of tissue-plasminogen activator. This case represents the first report in a human, in which tissue-plasminogen activator was used to facilitate percutaneous drainage of an intraabdominal abscess. It is also the first time a fibrinolytic agent has been used for this purpose in a child.
- - - - - - - - - -
ranking = 1
keywords = agent
(Clic here for more details about this article)

2/8. lactobacillus sepsis associated with probiotic therapy.

    Probiotic strains of lactobacilli are increasingly being used in clinical practice because of their many health benefits. Infections associated with probiotic strains of lactobacilli are extremely rare. We describe 2 patients who received probiotic lactobacilli and subsequently developed bacteremia and sepsis attributable to lactobacillus species. Molecular dna fingerprinting analysis showed that the lactobacillus strain isolated from blood samples was indistinguishable from the probiotic strain ingested by the patients. This report indicates, for the first time, that invasive disease can be associated with probiotic lactobacilli. This report should not discourage the appropriate use of lactobacillus or other probiotic agents but should serve as a reminder that these agents can cause invasive disease in certain populations.
- - - - - - - - - -
ranking = 1
keywords = agent
(Clic here for more details about this article)

3/8. Rare serotype non-typhoidal salmonella sepsis.

    An 11-month female with a poor socio-economic status presented to a tertiary care paediatric hospital with complaints of fever of 4-5 days and diarrhoea of 20 days duration. The patient didn't respond to the prescribed antimicrobials namely--norfloxacin and metronidazole. On admission she was diagnosed as persistent diarrhea with PEM grade III with sepsis. Stool examination and culture were negative for any pathogens, however blood culture yielded growth of salmonella Virchow which was susceptible to most common antimicrobial agents excepting trimethoprim sulfamethoxazole. salmonella Virchow is a common non-typhoidal Salmonellae causing bacteremia in the west, however this is the first report of bacteremia by S. virchow from india.
- - - - - - - - - -
ranking = 0.5
keywords = agent
(Clic here for more details about this article)

4/8. Congenital diabetes mellitus and fatal secretory diarrhea in two infants.

    Two unrelated male infants presented with brittle insulin-dependent diabetes mellitus in the first days of life. Subsequently they each developed severe secretory diarrhea, with stool volumes of more than 100 ml/kg/day. Extensive biochemical and serological investigation failed to reveal the etiology of the diarrhea. The infants, cared for at different institutions, underwent therapeutic trials of various agents including loperamide, cholestyramine, prednisone, indomethacin, and somatostatin analogue, without response. Both infants succumbed to septicemia and malnutrition related to diarrhea and poor control of glycemia. At autopsy, both were found to have absence of islets of langerhans in the pancreas, and diffuse dysplastic changes in small and large intestinal mucosae. In particular, the entire alimentary tract in each case was lined by epithelia most typical of foregut mucosa: secretory-type glands, absent crypts of Lieberkuhn, and absent villi. These cases are contrasted with previously-reported infants with congenital diabetes mellitus, and the possible interrelation of these two highly unusual findings, congenital diabetes mellitus and diffuse intestinal dysplasia, is examined.
- - - - - - - - - -
ranking = 0.5
keywords = agent
(Clic here for more details about this article)

5/8. Cyclosporin-responsive enteropathy and protracted diarrhea.

    We describe a child born to unrelated parents who developed severe protracted secretory type diarrhea associated with subtotal villus atrophy and intestinal inflammation at the age of 19 months. No infectious, metabolic, or anatomical basis for this condition was identified and the child required total parenteral nutrition for a period of 18 months despite trials of special enteral formulas, steroids, and anti-inflammatory agents. This refractory "enteropathy" responded dramatically to the introduction of cyclosporin, with cessation of the secretory diarrhea, recovery from the enteropathy, and cessation of parenteral nutrition. The symptoms relapsed when cyclosporin was briefly discontinued and improved following reintroduction of this drug. This experience suggests a role for immune factors in the pathogenesis of the enteropathy in this case and that a trial of cyclosporin is worthy of consideration in similar cases.
- - - - - - - - - -
ranking = 0.5
keywords = agent
(Clic here for more details about this article)

6/8. The bacteriologically battered baby: another case of Munchausen by proxy.

    We present a case in which a mother who had had self-inflicted infections as a teenager also caused life-threatening infections in her year-old child. After testing for and treating various immunologic deficiencies without success, it was apparent that the infection was caused by contamination of intravenous sites. Strict isolation of the patient, with restricted and observed visitations by the mother, was the critical step in stopping the infections. Because the woman took her child to several emergency departments, this case is presented to alert emergency personnel to this entity and to explain some of the dynamics and the social issues that cause the problem.
- - - - - - - - - -
ranking = 24858.782380013
keywords = proxy
(Clic here for more details about this article)

7/8. Intractable diarrhea of infancy due to intestinal coccidiosis.

    Intestinal coccidiosis in a 6-mo-old infant terminated fatally after 30 wk of continuous total parenteral nutrition, and proved refractory to treatment with antibiotics, hydrocortisone, and antimetabolic agents. Intestinal biopsies obtained at laparotomy revealed flattened mucosa infiltrated with coccidia at various stages of the parasites' life cycle. The course was characterized by severe diarrhea due to a cholera-like hypersecretion of intraluminal fluid. This case suggests that intestinal coccidiosis may be included among the small number of conditions responsible for authentic "intractable diarrhea of infancy."
- - - - - - - - - -
ranking = 0.5
keywords = agent
(Clic here for more details about this article)

8/8. Neonatal diarrhea caused by vibrio cholerae 0139 Bengal.

    Cholera rarely occurs in children under 2 years of age. We describe diarrhea due to vibrio cholerae 0139 Bengal, the newly described etiologic agent of cholera in a 4-day-old breast-fed baby. However, the diarrhea was mild and was successfully treated with rehydration therapy and erythromycin.
- - - - - - - - - -
ranking = 0.5
keywords = agent
(Clic here for more details about this article)


Leave a message about 'Diarrhea, Infantile'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.