Search results for "Jaundice"
showing 10 items of 48 documents
Neonatal problems of late and moderate preterm infants.
2012
International audience; Late and moderate preterm infants account for \textgreater80% of premature births. These newborns experience considerable mortality and morbidity in comparison with full-term born infants. The purpose of this paper is to summarise the most common morbidities of late and moderate preterm infants in the neonatal period, their incidence, severity, risk factors and need for admission to the different levels of care. The recent findings on preventive strategies and management priorities for clinical care of these vulnerable babies are also reviewed.
A case of severe repeated immunological reactions to intermittent rifampicin treatment
1972
A case is reported in which a 36-year-old patient twice suffered a rapidly-developing severe reaction to intermittent rifampicin therapy. The symptoms were upper abdominal and back pain, nausea and shivering. Acute renal failure, thrombocytopenia, jaundice and haemolytic anaemia also developed. Aetiologically this was due to an immunopathological effect. This case was unusual in that all the previously observed reactions to rifampicin of an immunological aetiology occurred together, resulting in a marked leucocytosis with the presence of immature cells. It appears that the immediate administration of high-dose corticosteroids can favourably influence this condition. We consider that despite…
CANDIDA SEPTIC THROMBOSIS OF THE LEFT ATRIUM IN TWINS: REPORT OF TWO CASES
2009
Background: Preterms are often exposed to nosocomial infections in NICU. Candida infections are particularly common and can result in progressive organization of intracardiac thrombosis, usually in the right atrium. Design and population: GB (24.4 wg, 460 g, bigeminal pregnancy): he was affected by RDS, PDA, jaundice, anaemia and had been submitted to TPN with CVC, also because of anus imperforate. On the 50th day, haemoculture resulted positive for Candida parapsilosis and, by echocardiography, hyperecogen peduncolate formation in the appendix of left auricola. Despite antifungal therapy, exitus occurred. CM (32.4 wg, 1390 g, bigeminal pregnancy): on 2nd day, she was operated for “apple-pe…
A performance evaluation of the expert system 'Jaundice' in comparison with that of three hepatologists.
1991
The diagnostic performance of an Expert System (Jaundice) designed to discriminate between different causes of jaundice was evaluated in a test sample of 200 consecutive in-patients with serum bilirubin greater than or equal to 51 mumol/l. The average probability assigned to true diagnosis, the non-error rate and the overall accuracy were, respectively, 55%, 77% and 70%. The Expert System's discriminatory ability in probabilistic prediction, assessed by a method based on continuous functions of the diagnostic probabilities (Brier score) was good. We also compared the ability of our Expert System to that of three experienced hepatologists, who were required to give a diagnosis in 20 cases fo…
Efecto de la masoterapia sobre la ictericia neonatal: revisión sistemática
2019
espanolObjetivo: Identificar, evaluar y sintetizar la mayor evidencia disponible sobre el efecto del masaje en la ictericia en neonatos a termino tratados o no con fototerapia. Metodo: Se desarrollo una revision siguiendo la declaracion PRISMA. Para ello se realizouna exhaustiva busqueda sistematica en las bases de datos PubMed, Cuiden, Scopus, Scielo y Cnki de los articulos publicados entre enero del 2009 y junio del 2018. Los estudios seleccionados fueron sometidos a una evaluacion de la calidad metodologica mediante la escala PEDro. Resultados: Un total de 10 trabajos cumplian los criterios inclusion y fueron incorporados a la revision. Estos presentaban una calidad metodologica moderada…
Hepatitis: a longstanding companion in human history [L'epatite: Un compagno di lungo corso della storia umana]
2012
L’epatite ha accompagnato la storia dell’umanità fin dalle sue origini, godendo di un’identificabilità immediata grazie alla manifestazione sintomatica dell’ittero; per tale motivo le testimonianze scritte relative al manifestarsi di forme epidemiche di ittero sono rintracciabili già alcuni millenni prima della nascita di Cristo. Va però sottolineata l’inevitabile confusione generata dal sovrapporsi di quadri clinici diversi per le differenti forme di epatite, identificate nel corso del tempo come “ittero epidemico” (epatiti da HAV o da HEV?) e “ittero da siero” (epatiti da HBV o da HCV?). Il percorso che ha portato al riconoscimento dell’eziologia infettiva di tali patologie è stato lungo …
Mirizzi syndrome type V complicated with both cholecystobiliary and cholecystocolic fistula: a case report
2021
Abstract Mirizzi syndrome (MS) is a common bile duct (CBD) obstruction caused by extrinsic compression from an impacted stone in the cystic duct or infundibulum of the gallbladder. Patients affected by MS may present abdominal pain and jaundice. A 37-year-old male with neurologic residuals post-encephalitis arrived at the emergency department reporting abdominal pain, jaundice and fever. An ultrasound of the abdomen identified cholecystolithiasis with a dilated CBD. He did not undergo CT or MRI due to poor compliance and parents’ disagreement. Eventually, they accepted to perform endoscopic retrograde cholangiopancreatography, which diagnosed MS with both cholecystobiliary and cholecystocol…
Surgical Treatment of Coledochal Cyst Associated with an Aberrant Posterior Hepatic Duct: Report of a Case and Brief Literature Review
2011
Choledochal cysts (CCs) are rare congenital cystic or fusiform dilatations of the biliary tree that can involve the extrahepatic and/or intrahepatic biliary tree. We report a case of huge type I CC associated with an aberrant posterior hepatic duct. A 52-year-old man presented with a 3-week history of upper right abdominal pain and jaundice and serologic sign of obstructive jaundice. Ultrasonography (US), magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography were performed with the diagnosis of CC type I according to the classification of Alonso-Lej and Todani-Watanabe. The indication for surgical resection was posed. The cyst was completely resected…
Neuroendocrine tumor of the common bile duct: case report
2017
Neuroendocrine tumors (NET) are a very heterogeneous group of neoplasms; in recent years we have seen an increase in their incidence (3.65 /100.000/year). They can be associated with hereditary endocrine syndromes (MEN, Von Hippel Lindau); they can occur at any age and the incidence is slightly higher in men than women. The aetiology of the neuroendocrine tumors is unclear; in most cases, inflammation of the bile ducts may be the underlying cause and for this reason, the initial patient's evaluation should be focused on the different aspects concerning the oncological one and the possible sequelae of the biliary obstructions that can evolve in biliary sepsis. All neuroendocrine tumors have …