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Lemierre Syndrome Revealed by Orbital Cellulitis

Open Journal of Pediatrics 2023年第6期13卷 900-906页

作者： issam taha Ilham Tadmori Moustapha Hida Pediatric Emergency Department Faculty of Medicine and Pharmacy of Fez Sidi Mohamed-Ben-Abdellah University Fez Morocco Mother-Child Hospital Hassan II University Hospital Fez Morocco

Lemierre’s syndrome is a rare and severe sepsis, capable of rapidly compromising the vital prognosis in the absence of early intervention, characterized by an oropharyngeal infection complicated by septic thrombosis of the internal jugular vein and the formation of septic emboli primarily localized at the pulmonary level. We report the case of a 14-year-old boy, with no notable pathological history, who had presented for 15 days with unilateral orbital swelling which then became bilateral, all evolving in a context of fever.

关键词： Lemierre’s Syndrome Oropharyngeal Infection Jugular Septic Thrombosis Septic Embolism

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Niemann-Pick A/B Disease in a 13-Year-Old Child and Review of the Literature

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Open Journal of Pediatrics 2023年第6期13卷 907-913页

Niemann-Pick disease (NPD) refers to a group of patients who have varying degrees of lipid storage and foam cell infiltration in tissues, as well as overlapping clinical features, including hepatosplenomegaly, insufficiency pulmonary and/or central nervous system (CNS). Thanks to the pioneering work of Roscoe Brady and colleagues, we now know that there are two distinct metabolic abnormalities that explain NPD. The first is due to the deficient activity of the acid sphingomyelinase enzyme (ASM;NPD “types A and B”), and the second is due to defective functioning in the transport of cholesterol (NPD “type C”). We report the case of a 13-year-old adolescent diagnosed with Niemann-Pick A/B disease.

关键词： Nieman Pick Splenomegaly Hepatomegaly Enzymatic Test

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Erysipelas in Children: Risk Factors and Management in the Pediatric Emergency Department

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Open Journal of Pediatrics 2023年第6期13卷 914-920页

作者： issam taha Ilham Tadmori Widade Kojmane Moustapha Hida Mother-Child Hospital Hassan II University Hospital Fez Morocco

The aim of this study is to describe the epidemiological, clinical, biological profile, etiology and management of erysipelas in pediatric emergency departments. In this retrospective study carried out over a period of 12 months, we identified 20 cases of erysipelas, with an incidence of 2%, and a female predominance of 65% of cases. Age average patient age was 6 years, and the average consultation time was 5 days. The Diagnosis of erysipelas is mainly based on clinical features, including the presence of erythema associated with inflammatory signs, which were present in all cases. Satellite lymphadenopathy was observed in five cases, and fever was present in all patients. The therapeutic approach is mainly based on the administration of injectable antibiotics in children, using amoxicillin-clavulanate dose of 80 mg/kg/day in three doses.

关键词： Erysipelas Fever Antibiotic Therapy Child

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