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Neonatal Kawasaki Disease: A Case Report

Open Journal of Rheumatology.and Autoimmune Diseases 2015年第2期5卷 40-45页

作者： Mohamed A. Huneif Ay.d A. Shati Abdu M. Abudiah Abdullah M. Aljaser mansour y. otaif Department of Child Health College of Medicine Najran University Najran KSA Department of Child Health College of Medicine King Khalid University Abha KSA Department of Pediatric Rheumatology King Faisal Specialist Hospital Ministry of Health Riyadh KSA Department of Pediatric Neurology King Faisal Specialist Hospital Ministry of Health Riyadh KSA

Objective: To report a case of Kawasaki disease (KD) with unusual age at presentation. Case Report: A 26-day.old Saudi boy.presented with fever, irritability.and poor feeding for 3 day.. There was right cervical ly.ph node enlargement. There was mild throat congestion and bilateral congested ty.panic membrane. The liver was palpable. Otherwise, there were no more abnormal phy.ical findings. Laboratory.findings revealed high ery.hrocy.e sedimentation rate and positive C-reactive protein. The patient was admitted into an isolation room and antibiotics were started. On the 5th day. the condition of the patient deteriorated. Ampicillin was discontinued and vancomy.in was started till getting the results of the culture sensitivity. On the 7th day. he developed diaper rash and fever spikes continued. On the 8th day. the patient developed swelling, redness and hotness of the right hand. Possibility.of sepsis was considered and the administered antibiotics were imipenem and vancomy.in, while cefotaxime was discontinued. On the 12th day. the patient developed anemia and leukocy.osis. Gamma glutamy. transpeptidase was high. On the 15th day. the patient started to develop maculopapular rash on the trunk and desquamation of both hands and feet with swelling, cracked lips, bilateral conjunctival injection and unilateral neck ly.ph node swelling. So, the infant’s condition was clinically.diagnosed as KD. Aspirin was started and 2 doses of intravenous immunoglobulins were given. On the 18th day. the condition of patient improved and the fever subsided. Conclusions: The diagnosis of KD among neonates is a clinical challenge. Diagnosis is based on clinical criteria after the exclusion of other diseases presenting with high persistent fever. Early.treatment by.administering intravenous immunoglobulins and aspirin can help prevent cardiac complications. There is a pressing need to raise awareness among pediatricians about this disease.

关键词： Kawasaki Disease Neonate Skin Desquamation Strawberry Tongue Immunoglobulin Cardiovascular Complications

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Prevalence of Menstrual Pain among Saudi Nursing Students and Its Effect on Sickness Absenteeism

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Health 2016年第3期8卷 198-205页

作者： Samantha Ismaile Seham Al-Enezi Wajdan otaif Albandari Al-Mahadi Nada Bingorban Nourah Baray.an The College of Nursing Princess Nourah Bint Abdulrahman University Riyadh Saudi Arabia

Background: Primary.menstrual pain is a well-known gy.ecological disorder among adult females including nursing undergraduate students. Nursing students tend not to seek medical treatment. As a result, this affects their quality.of academic life and also absenteeism rate is increased. Objectives: To evaluate the prevalence of menstrual pain and its effect on sickness absenteeism on nursing student. Methods: This is a descriptive survey.research design study.by.means of using a validated and modified questionnaire. Questionnaire information regarding menstrual pain severity. history.and absenteeism were included. The research took place in the collage of nursing at the largest University.in the world, Princess Nourah Bint Abdelrahman University. Riy.dh, Saudi Arabia. A total of 100 single, female, unmarried undergraduate nursing students (y.ar 1, 2, 3, 4) were recruited by.personal invitation during lectures. Result: The prevalence of menstrual pain was 92%. Most of the nursing students 27% had menstrual pain of moderate grade 5 - 6 and 38% of nursing students did not take pain medication for it. Lecture and collage absenteeism due to menstrual pain was present in 9% and 30% respectively. Finally. there was no significant correlation between menstrual pain and age of menarche, age and height. Conclusion: Menstrual pain is widely.common prevalent among nursing undergraduates. As a result, it affects the quality.of students’ day.to-day.life routine. The majority.of nursing students’ rarely.seeks medical treatment. Providing health and patient education to improve awareness on managing menstrual period might help in avoiding students’ absence from classes.

关键词： Nursing Students Primary.Menstrual Pain Sickness Absenteeism

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