A nine and a half year old boy was brought to the hospital because of a cough, dyspnea and mild fever. He was well-nourished and had an uneventful history. His chest X-ray and electrocardiographic findings suggested pericarditis but further examinations and an open pericardial biopsy revealed a mass histologically diagnosed as pericardial mesothelioma, a very rare tumor in this age group.
Developing an effective and safe vaccine against Covid-19 will facilitate return to normal. Due to hesitation toward the vaccine, it is crucial to explore the acceptability of the COVID-19 vaccine to the public and healthcare workers. In this cross-sectional survey, we invited 2251 pediatricians and 506 (22%) of them responded survey and 424 (84%) gave either nasopharyngeal swap or antibody assay for COVID-19 and 71 (14%) of them got diagnosis of COVID-19. If the effective and safe COVID-19 vaccine was launched on market, 420 (83%) of pediatrician accepted to get vaccine shot, 422 (83%) of them recommended vaccination to their family members, 380 (75%) of them accepted to vaccine their children and 445 (85%) of them offered vaccination to their pediatric patients. Among the participated pediatricians 304 (60%) of them thought COVID-19 vaccine should be mandatory. We found that there are high COVID-19 vaccine willingness rates for pediatricians for themselves, their own children, family members and their pediatric patients. We also found that being a pediatric subspecialist, believing in achieving an effective vaccine, willingness to participate in the phase 1-2 clinical vaccine trial, willingness to get an influenza shot this season, believing a vaccine and vaccine passport should be mandatory were significant factors in accepting the vaccine. It is important to share all information about COVID-19 vaccines, especially effectiveness and safety, with the public in a clear communication and transparency. The opposite will contribute to vaccine hesitancy and anti-vaccine movement.
Pleuropulmonary blastoma (PPB) is a rare malignant lung tumor in childhood. [1]Pleuropulmonary blastoma is considered a dysontogenetic tumor of childhood that often appears as a pulmonary and/or pleural-based mass.Solid-cystic and cystic appearance is also reported and may correspond to an earlier stage of disease.Initial symptoms and signs imitate a respiratory tract infection with or without fever, accompanied by mild to moderate respiratory distress. [1] this study, we report a case that presented with fever, dyspnea, wheezing, abdominal pain, weight loss and was diagnosed as PPB.Because PPB is rarely seen in childhood relevant literature on pleuropulmonary blastoma is reviewed. CASE REPORTA 3.5 years old boy was admitted to our hospital with fever, abdominal pain, and respiratory distress.He had a
A retrospective analysis of the computerized data of patients admitted to our Emergency Unit Inpatient Service in 1991 was conducted to obtain data about age, sex, referred sources, admission period, monthly admission rates, diagnoses and eventual outcome. More than 47% of patients were younger than one year of age. The most common causes for hospital admission were infectious, respiratory and neurological diseases. The mean hospitalization period was 3.26 days. More than 60% of patients were treated by the Emergency Unit staff. The net mortality rate was 2.9%, infectious diseases being the most common cause of mortality. We conclude that demographic and diagnostic data regarding admissions to the Emergency Unit can be utilized to develop new strategies for patient care and to reorganize education programs for pediatric residents.
A 14-year-old female patient presented with a 3-day history of high fever and cough. It was learnt that she had started to use oseltamivir after her complaints started. Physical examination revealed decreased breath sounds in the lower and middle zones of the left lung and crepitant rales in the right lung. Some laboratory examination test results were as follows: hemoglobin 10.6 g/dL, hematocrit 33.5%, MCV 76.5 fL, white blood cell count 5.97x103 / uL, platelet count 180x103 /uL, CRP 205.6 mg/L, procalcitonin 1.28 ng/mL. Posteroanterior (PA) chest X-ray showed consolidation in the middle and lower zones of the left lung and infiltration in the lower zone of the right lung. Treatment with ceftriaxone, clarithromycin and teicoplanin was started. On the third day of treatment, their body temperatures fell and her general condition improved. On the 10th day of clinical follow-up, chest X-ray findings improved significantly, In control tests hemoglobin (10.8 g/dL), hematocrit (20.6%), platelet count (519x103 /uL), and reticulocyte count (2.14%), were also evaluated. Direct and indirect Coomb’s tests yielded positive results. The results of some tests perfomed were as follows: Cold agglutinin titration test (1/2016), Cryoglobulin negative, Cryofibrinogen negative. Mycoplasma pneumoniae (M. pneumoniae) IgM 1.33 (positive), M. pneumoniae IgG 0.38 (negative), EBV - VCA IgM: 0.62 (negative), EBV - VCA IgG: 196 (positive). She was discharged with levofloxacin treatment without any additional treatment. Hemolysis crisis was not observed during the follow-up. Cold agglutination disease should be considered when hemoglobin - hematocrit incompatibility is detected in patients with lung infection.
The most cause of cardiopulmonary arrest (CPA) is respiratory system disorders. Usually the surive from CPA is 30% in hospital and under 10% in out of hospital. The aim of this study, the cause of CPA, applications and results of CPA in pediatric ICU and emergency care in Turkey.
Methods
This study conducted between January 15 and July 15, 2011, multicenter, prospective, observational from Turkey.
Results
We enrolled 239 children whose CPA developed. Fifty-four percent of all patients were boy and their mean age were 42.4±58.1 months. The causes of CPA were respiratory failure in 49.8%, sepsis in 301.%, cardiac disease in 21.3% and rhythm disorders in 8.8%. The place of CPA occurred were PICU in 68.6%, services in 18%, out of hospital in 10% and emergency care in 3.3% of patients whose CPA developed. Adrenalin was performed in 221, defibrillation in 16 and automatic external defibrillation in patients. Mean resuscitation time was 30.7±23.6 minutes. Return percent after first resuscitaiton application was 44.8%. We check to mortality rate after first resuscitation 43.3% in PICU, 41.9% in services, 50% in Emergency Care, 41.7% at out of hospital (p=0.539). The 83% of them were unconsciousness, renal replacement therapy was applicated in 16 patients. After first resuscitation, 54.2 patient survived and neurologic sequele was in 32% of them.
Conclusion
Mortality and morbidity are higher either hosptial and out of hospital CPA, therefore prevention to CPA and well resuscitation applications are very important.