#211
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Êðàéíå ðåäêèé ñëó÷àé áîëåçíè Êàâàñàêè ó íîâîðîæäåííîãî - ñâîåâðåìåííî íà÷àòîå ëå÷åíèå â/â èììóíîãëîáóëèíîì ïðè íàëè÷èè 3 èç 5 êëèí. ïðèçíàêîâ áîëåçíè â òå÷åíèå 48 ÷ íîðìàëèçîâàëî ñîñòîÿíèå ðåáåíêà - àâòîðû ñìîãëè îáíàðóæèòü â àíãëîÿçû÷íîé ëèòåðàòóðå âñåãî 15 ñëó÷àåâ áîëåçíè Êàâàñàêè ó íîâîðîæäåííûõ (â ïåðâûå 28 äíåé îò ðîæäåíèÿ)
Kawasaki Disease in the neonate: case report and literature review [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#212
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Ðàïóíöåëü ñèíäðîì ó 14-ëåòíåé äåâî÷êè èç-çà ïèêè/òÿãè âûðûâàòü è ïîåäàòü ñîáñòâåííûå âîëîñû íà ôîíå ÆÄÀ:
Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#213
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Ê ñ÷àñòüþ, íå òðàãè÷íîå îïèñàíèå ñëó÷àéíîãî óïîòðåáëåíèÿ ðèâàðîêñàáàíà 3-ëåòíèì ðåáåíêîì - êîðìëåíèå ðåáåíêà àêòèâèðîâàííûì óãëåì ïîõîæå ñïîñîáñòâîâàëî áîëåå áûñòðîìó âûâåäåíèþ ïðåïàðàòà:
Anti-factor Xa Monitoring and Activated Charcoal for a Pediatric Patient With Rivaroxaban Overdose [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#214
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Åùå îäèí ïðèçíàê ïðè íåïîëíîé áîëåçíè Êàâàñàêè ó äåòåé ïåðâîãî ãîäà - ðåàêòèâàöèÿ/ëîêàëüíîå âîñïàëåíèå íà ìåñòå ââåäåíèÿ ÁÖÆ:
êåéñ 2016 â ïîëíîé âåðñèè Bacillus Calmette-Guérin reactivation as a sign of incomplete Kawasaki disease. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] äèàãíîñòè÷åñêàÿ öåííîñòü ýòîãî ñèìïòîìà íà ïðèìåðå 3 ëåòíåãî íàáëþäåíèÿ çà áîëåçíüþ Êàâàñàêè â äåòñêîé áîëüíèöå Ñèíãàïóðà: Significantly more infants with KD (69.7%) had BCG site changes than older children (27.8%; p < 0.001). It also presented earlier in the course of KD; < 5 days (53.3%) compared to ≥ 5 days of fever (30%; p < 0.001). Positive predictive value of BCG site reaction or induration for KD was 90.8% (95% confidence interval [CI] 0.82-0.96) for infants and 96.2% (95% CI 0.87-0.99) for older children. Erythema and induration of the Bacillus Calmette-Guérin site for diagnosing Kawasaki disease [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#215
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Óëûáíóëî íàçâàíèå ýòîãî ðåäêîãî ñèíäðîìà (íàçâàí òàê èç-çà ñõîäñòâà ñ ãåðîåì êîìèêñîâ íà êàðòèíêå âíèçó):
A Rare Case of Michelin Tire Baby Syndrome in a Newborn. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#216
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Àêòèâ ïîñëå âûïèñêè èç èíôåêöèîííîãî îòäåëåíèÿ. ðåáåíîê 10 ìåñ.2 äíÿ òåìïåðàòóðà 38,5, ìàìà âûçûâàåò ñêîðóþ. ðåáåíêà ãîñïèòàëèçèðóþò â èíôåêöèîííîå îòäåëåíèå. Ñðàçó íàçíà÷àþò à\á â\ì. Íà 4 äåíü òåìïåðàòóðà íîðìàëèçóåòñÿ, ïîÿâëÿåòñÿ ñûïü. Ðåáåíêà âûïèñûâàþò äîìîé. Äèàãíîç â âûïèñêå-âíåçàïíàÿ ýêçàíòåìà. Êîíòàêò ïî êîðè. Ðåáåíîê ïîëó÷èë êóðñ àíòèáèîòèêîâ, ïðîêîíòàêòèðîâàë ñ áîëüíûì êîðüþ, ïîëó÷èë èììóíîãëîáóëèí... è ýòî âñåãî ëèøü áûëà âíåçàïíàÿ ýêçàíòåìà((
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#217
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Öèòàòà:
Åñëè íå ñåêðåò, òî êàêèì àíòèáèîòèêîì ëå÷èëè â/ì? Íå Àìèêàöèíîì ñëó÷àéíî?
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Àëåêñàíäð Èâàíîâè÷ ñ ïîæåëàíèÿìè êðåïêîãî çäîðîâüÿ |
#218
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#219
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Öèòàòà:
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#220
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#221
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Ïðèíîñÿò íà ïðèåì äåâî÷êó 6 ìåñ, íà ãîëîâå ïîâÿçêà ñ áàíòèêîì. äåëàþ êîìïëèìåíò-"êàêàÿ ìîäíèöà, óæå ñ áàíòèêîì". Ìàìà ñåðüåçíî îáúÿñíÿåò, ÷òî ïîâÿçêó ðåêîìåíäîâàë íîñèòü õèðóðã, òàê êàê ó äåâî÷êè óøêè òîð÷àùèå))
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#222
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Äâà êåéñà â ïîëíîé âåðñèè î ÿòðîãåííîì ãèïîòèðåîçå ó äåòåé, êîãäà ïîñëå óäàëåíèÿ êèñòû òèðîãëîññàëüíîãî ïðîòîêà, êàê åäèíñòâåííî ôóíêöèîíèðóþùåé òèðîèäíîé æåëåçû â îðãàíèçìå, íå áûëî ïîñëå îïåðàöèîííîãî ñêðèíèíãà íà ÒÒÃ:
A case of iatrogenic hypothyroidism presented with cardio-inhibitory syncope and resolved by thyroxine supplementation [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Delayed diagnosis of hypothyroidism following excision of a thyroglossal duct cyst [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] òàêèå ñëó÷àè îïèñûâàëè è ðàíåå, íî áîëüøèíñòâî ïóáëèêàöèé áûëî â ïðîøëîì ñòîëåòèè è èìåþòñÿ â ïàáìåäå ëèøü òåçèñíî
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#223
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Ðåöåäèâèðóþùèé ïàíêðåàòèò ó ðåáåíêà, êîíñóëüòèðîâàâøåãîñÿ íà ôîðóìå.https://forums.rusmedserv.com/showthread.php?t=443643
Íàéäåíà ìóòàöèÿ n34s-spink1-gene.Ê ñîæàëåíèþ äàæå èíôîðìàöèè â èíòåðíåòå íå òàê óæ .Ïîïðîøó êîëëåã, Âàäèìà,ìîæåò êîìó òî ïàïàäàëàñü áîëåå ïîäðîáíàÿ èíôîðìàöèÿ. Îäíà èç ññûëîê [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |
#224
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Áîëåçíü Âèëüñîíà Êîíîâàëîâà
Áîëåçíü Âèëüñîíà Êîíîâàëîâà äèàãíîñöèðîâàíà ó ðåáåíêà, êîíñóëüòèðîâàâøåãîñÿ íà ôîðóìå https://forums.rusmedserv.com/showthread.php?t=443266
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#225
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Åäóàðä, ññûëêà â ïñîëåäíåì ñîîáøåíèè íå îòêðûâàåòñÿ
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