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Diana Aniela Moldovan, Maria Despina Baghiu, Alina Balas and Sorana Teodora Truta

References 1. Baraff LJ. Management of infants and young children with fever without source. Pediatr Ann. 2008;37:673-9. 2. Galetto Lacour A, Zamora SA, Gervaix A. Bedside procalcitonin and C-reactive protein tests in children with fever without localizing signs of infection seen in a referralcenter. Paediatrics. 2003;112:1054-60. 3. Craig JC, Williams GJ, Jones M, et al. The accuracy of clinical symptoms and signs for the diagnosis of serious bacterial infection in young febrile children: prospective cohort study of 15 781 febrile illnesses. BMJ. 2010

Open access

Maria Livia Ognean, Oana Boantă, Simona Kovacs, Corina Zgârcea, Raluca Dumitra, Ecaterina Olariu and Doina Andreicuţ

R eferences 1. Kaemmerer H, Meisner H, Hess J, Perloff JK. Surgical treatment of patent ductus arteriosus: a new historical perspective. Am J Cardiol. 2004;94:1153-4. 2. Schneider DJ, Moore JW. Patent Ductus Arteriosus. Circulation 2006;114:1873-82. DOI: 10.1161/CIRCULATIONAHA.105.592063. 3. Hillman M, Meinarde L, Rizzotti A, Cuestas E. Inflammation, High-sensitivity C-reactive Protein, and Persistent Patent Ductus Arteriosus in Preterm Infants. Rev Esp Cardiol (Engl Ed). 2016;69:84-5. doi: 10.1016/j.rec.2015.09.014. 4. Al Nemri AMH

Open access

Lorena Elena Meliţ, Cristina Oana Mărginean, Anca Georgescu and Carmen Duicu

Abstract

Sepsis is a systemic inflammatory response (SIRS) characterized by two or more of the following: fever > 38.5 °C or <36 °C, tachycardia, medium respiratory frequency over two SD for age, increased number of leukocytes.

The following is a case of an eight months old, female infant, admitted in to the clinic for fever (39.7 C), with an onset five days before the admission, following trauma to the inferior lip and gum. Other than the trauma to the lip and gum, a clinical exam did not reveal any other pathological results. The laboratory tests showed leukocytosis, positive acute phase reactants (ESR 105 mm/h, PCR 85 mg/dl), with positive blood culture for Staphylococcus aureus MSSA. at 24 hours. Three days from admission, despite the administration of antibiotics (Vancomycin+Meronem), there was no remission of fever, and the infant developed a fluctuant collection above the knee joint. This was drained, and was of a serous macroscopic nature. A decision was made to perform a CT, which confirmed the diagnosis of septic arthritis. At two days after the intervention, the fever reappeared, therefore the antibiotic regime were altered (Oxacillin instead of Vancomycin), resulting in resolution of the fever. Sepsis in infant is a complex pathology, with non-specific symptoms and unpredictable evolution.

Open access

Maria Livia Ognean, Silvia-Maria Stoicescu, Oana Boantă, Leonard Năstase, Carmen Gliga and Manuela Cucerea

R eferences 1. Chard T, Soe A, Costeloe K. The risk of neonatal death and respiratory distress syndrome in relation to birth weight of preterm infants. Am J Perinatol. 1997;14:523–6. 2. Hack M, Horbar JD, Malloy MH, et al. Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Network. Pediatrics 1991;87:587–97. 3. Gregory GA, Kitterman JA, Phibbs RH, Tooley WH, Hamilton WK. Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med. 1971

Open access

Laura Mihaela Suciu, Manuela Cucerea, Marta Simon, Andreea Avasiloaiei, Olimpia Petrescu and Suciu Bogdan Andrei

R eferences 1. Ahn Y, Jun Y. Measurement of pain-like response to various NICU stimulants for high-risk infants. Early Hum Dev. 2007;83:255-62. 2. Gradin M, Schollin J. The role of endogenous opioids in mediating pain reduction by orally administered glucose among newborns. Pediatrics. 2005;115:1004-7. 3. Lucas-Thompson R, Townsend EL, Gunnar MR, et al. Developmental changes in the responses of preterm infants to a painful stressor. Infant Behav Dev. 2008;31:614-23. 4. Johnston CC, Collinge JM, Henderson SJ, Anand KJS. A cross

Open access

M. Anthony Cometa, Scott M. Wasilko and Adam L. Wendling

Abstract

Uterine and placental pathology can be a major cause of morbidity and mortality in the parturient and infant. When presenting alone, placental abruption, uterine rupture, or placenta accreta can result in significant peripartum hemorrhage, requiring aggressive surgical and anesthetic management; however, the presence of multiple concurrent uterine and placental pathologies can result in significant morbidity and mortality. We present the anesthetic management of a parturient who underwent an urgent cesarean delivery for nonreassuring fetal tracing in the setting of chronic hypertension, preterm premature rupture of membranes, and chorioamnionitis who was subsequently found to have placental abruption, uterine rupture, and placenta accreta.

Open access

Mihaela Patriciu, Andreea Avasiloaiei, Mihaela Moscalu and Maria Stamatin

;39:890–900. 7. Brown KL, Ridout DA, Hoskote A, Verhulst L, Ricci M, Bull C. Delayed diagnosis of congenital heart disease worsens preoperative condition and outcome of surgery in neonates. Heart 2006;92:1298–302. 8. Acharya G, Sitras V, Maltau JM, et al. Major congenital heart disease in Northern Norway: shortcomings of preand postnatal diagnosis. Acta Obstet Gynecol Scand. 2004;83:1124-9. 9. Ewer AK, Furmston AT, Middleton LJ, et al. Pulse oximetry as a screening test for congenital heart defects in newborn infants: a test accuracy study with evaluation of

Open access

Alexander M. Ioscovich, Oksana V. Riazanova and Yurii S. Alexandrovich

Psychiatry 2008; 49: 1079-1088. doi: 10.1111/j.1469-7610.2008.01959.x 9. Field T. Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behav Dev 2010; 33: 1-6. doi: 10.1016/j.infbeh.2009.10.005 10. Thompson KS, Fox JE. Post-partum depression: a comprehensive approach to evaluation and treatment. Ment Health Fam Med 2010; 7: 249-257 11. Markhus MW, Skotheim S, Graff IE, Frřyland L, Braarud HC, Stormark KM, et al. Low omega-3 index in pregnancy is a possible biological risk

Open access

Chryssoula Staikou, Mattheos Stamelos and Eftyhios Stavroulakis

.1177/014107688808100616 52. Laloyaux P, Veyckemans F, Van Dyck M. Anaesthetic management of a prematurely born infant with Cantrell’s pentalogy. Paediatr Anaesth 1998; 8: 163-166. doi: 10.1046/j.1460-9592.1998.00687.x 53. Kumar CM. Wolff-Parkinson-White syndrome and general anaesthesia: use of isoflurane and vecuronium. Br J Anaesth 1986; 58: 574-575. doi: 10.1093/bja/58.5.574 54. Kadoya T, Seto A, Aoyama K, Takenaka I. Development of rapid atrial fibrillation with a wide QRS complex after neostigmine in a patient with intermittent Wolff

Open access

Manuela Cucerea, Marta Simon, Elena Moldovan, Marcela Ungureanu, Raluca Marian and Laura Suciu

R eferences 1. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–900. 2. Oster ME, Lee KA, Honein MA, Riehle-Colarusso T, Shin M, Correa A. Temporal trends in survival among infants with critical congenital heart defects. Pediatrics. 2013;131:e1502-8. doi: 10.1542/peds.2012-3435. 3. Reller MD, Strickland MJ, Riehle-Colarusso T, Mahle WT, Correa A. Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. J Pediatr. 2008;153:807-13. doi: 10.1016/j.jpeds.2008.05.059 4. Yun SW