Cerebral salt wasting in children: the need for recognition and treatment

Article Abstract:

Cerebral salt wasting syndrome (CSW) associated with injury to the central nervous system should be distinguished from diabetes insipidus and the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Like SIADH and diabetes insipidus, CSW is a malfunction of water metabolism in the body. It is characterized by low blood levels of sodium, increased sodium in urine and increased urine volume. A boy with an internal head injury and a girl with seizure disorder and mental retardation following meningitis were both diagnosed with CSW. Both patients had excessive blood levels of atrial natriuretic hormone, which increases urine and sodium output by the kidneys. Both responded to treatment with salt tablets. Inappropriately diagnosing and treating SIADH in patients who actually have CSW may harm them.

Fluid-electrolyte imbalance, Sodium metabolism disorders, Water-electrolyte imbalances in children

---

Granulomatous hepatitis in three children due to cat-scratch disease without peripheral adenopathy: an unrecognized cause of fever of unknown origin

Article Abstract:

A fever of unknown origin and granulomatous hepatitis may be caused by cat-scratch disease. Cat-scratch disease is an infection usually characterized by mild fever and swollen lymph glands. Granulomatous hepatitis is an inflamed liver studded with hard nodules. Three children who were diagnosed with cat-scratch disease had fever and granulomatous hepatitis, but no swollen glands. All three children, aged three, four and 10, had been scratched by a kitten before their symptoms appeared. The symptoms included fever up to 42 degrees C, night seats, abdominal pain and a washed-out appearance. Liver nodules from two of the patients were removed and showed infection with the microorganism Afipia felis. All three patients had positive cat-scratch skin tests.

Causes of, Complications and side effects, Fever, Hepatitis, Cat-scratch disease, Hepatitis in children

---

Abdominal symptoms as presentation of hypertensive crisis

Article Abstract:

Stomach pain in children can often be an indicator of high blood pressure. Three instances of children with stomach pain, later found to be related t o hypertensive crisis, are discussed. The children were between 10 months and 4 years old. They had a variety of symptoms including vomiting, worsening abdominal pain and sporadic pain followed by stomach bloating. Once the children's blood pressure was controlled, abdominal symptoms disappeared in all cases. The difficulties of obtaining blood pressure readings from children and the fact that many clinicians neglect this part of the screening process for children are discussed.

Hypertension, Diagnosis, Hypertension in children, Abdominal pain in children, Pediatric abdominal pain

Similar abstracts:

• Abstracts: Firing lines: the new fire precaution regulations. Third attempt at fire safety regs. Spotlight on fire: The new regs
• Abstracts: Organizational change required for paradigmatic shift in addiction treatment. Avoiding the quality assurance boondoggle in drug treatment programs through total quality management
• Abstracts: Detection of Chlamydia trachomatis in men: sensitive tests for sensitive urethras. Antibodies to Chlamydia species in patients attending a genitourinary clinic and the impact of antibodies to C. pneumoniae and C. psittaci on the sensitivity and the specificity of C. trachomatis serology tests
• Abstracts: Remembrance of foods. Opposites attract. Genes: one size fits all
• Abstracts: Control of peripartal collagenolysis in the human chorion-decidua. Gamma-delta-T cells in human decidua

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.