Abstract:
:OBJECTIVE: Neonatal tetanus is an infection with high mortality, constituting a problem in underdeveloped countries, where there is faulty prenatal attendance. In spite of this and of the decreasing incidence of the disease in the state of Rio Grande do Sul, we report a case of neonatal tetanus identified in 1997. METHOD: We interviewed the infantacute;s mother and verified her vaccination history. We conducted a clinical examination of the newborn, anaerobic culture of umbilical stump and review of medical records. We also reviewed the literature and verified the epidemic profile of neonatal tetanus in Rio Grande do Sul.RESULTS: Healthy mother, with complete outline of tetanus vaccination 4 years ago, prenatal uncomplicated and hospital delivery. Family of good socioeconomic level, differing from the other cases notified in the State, in that most did not have prenatal care nor hospital delivery. The patient is a boy. In the 24th day of life he presented fever, cyanosis, lower and upper limbs muscle hypertonia and opisthotonos episodes. An anaerobic culture of the umbilical stump grew Clostridium tetani. He was treated with penicillin G, gentamicin, sedation and tetanus immunoglobulin. He left hospital in good conditions.CONCLUSIONS: Faulty prenatal care in underdeveloped countries is the largest risk factor for high incidence of this disease in these areas. However, in pregnant women with good socioeconomic level and prenatal care, as in the case described here, this diagnosis should not be excluded if there are suggestive signs of it.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Guardiola A,Teixeira AM,Silva CA,Grisólia JR,Prates LZ,Schermann MT,Mohrdieck Rdoi
10.2223/jped.80keywords:
subject
Has Abstractpub_date
2000-09-01 00:00:00pages
391-4issue
5eissn
0021-7557issn
1678-4782journal_volume
76pub_type
杂志文章abstract:OBJECTIVE:Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families. METHODS:Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritio...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1966
更新日期:2010-01-01 00:00:00
abstract::Symptoms of psoas muscular abscess in children are nonspecific and differential diagnosis is made among diseases included in childreńs acute hip pain syndrome, imaging tests being necessary for diagnostic confirmation. During the first semester of 1995, 48,550 children were examined in Pronto Socorro do Instituto da C...
journal_title:Jornal de pediatria
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:To evaluate compliance in children with acute lymphoblastic leukemia. METHOD:Compliance was assessed through specific interviews. RESULTS:A total of 73 patients who had concluded the maintenance phase of chemotherapy were enrolled on the study. Eighty-one percent of the interviews were conducted with the pa...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To describe the main predictors for excess birth weight in Brazilian children. DATA SOURCES:Systematic review carried out in the bibliographic databases: PubMed/MEDLINE, Cochrane, Scopus, Web of Science, and LILACS. The research in the gray literature was performed using the Google Scholar database. The bias...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.04.006
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To describe the antimicrobial activity of β-defensin-2 produced in the mammary gland and secreted in human breast milk. METHODS:The peptide production was performed by DNA cloning. β-defensin-2 levels were quantified in 61 colostrum samples and 39 mature milk samples from healthy donors, by an indirect enzym...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.05.006
更新日期:2015-01-01 00:00:00
abstract::The acute inflammatory demyelinating polyneuropathy (Guillain-Barré Syndrome) might have a severe presentation but a good prognosis in children. It is an immune-mediated and inflammatory disorder of the peripheral nervous system. This retrospective study observed that GBS is frequently complicated by hypertension and ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.579
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:The use of whole-cell pertussis vaccine has led to a significant decline in incidence of the disease among children. This change in the epidemiological profile led to an increased number of cases among teenagers and adults, as a result of loss of immunity to the disease or vaccine after approximately 10 year...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1491
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To review the most important aspects of the clinical presentation and treatment of children with cancer in intensive care units. SOURCE OF DATA:Medline (1970 to 2003); search terms: children, cancer, oncology, intensive care, complications. General and pediatric oncology textbooks. SUMMARY OF THE FINDINGS:P...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
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更新日期:2003-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2015.09.004
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To investigate the immune response of preterm infants to hepatitis B vaccination. METHODS:Three doses of recombinant hepatitis B vaccine (5 micro g dose) were administered to 35 preterm and 21 full-term infants within 24 hours after birth and at one and six months of postnatal age. RESULTS:A protective anti...
journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To meta-analyze health-related quality of life in pediatric patients with chronic kidney disease in comparison to healthy patients according to the dimensions of the PedsQL instrument. SOURCES OF DATA:A systematic review was performed with meta-analysis for the mean difference in each of the health-related q...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.10.013
更新日期:2020-12-17 00:00:00
abstract:OBJECTIVE:Our aim was to determine whether endogenous mononuclear leukocyte DNA strand is a target of phototherapy. METHODS:The study included 65 term infants aged between 3-10 days that had been exposed to intensive (n = 23) or conventional (n = 23) phototherapy for at least 48 hours due to neonatal jaundice, and a c...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1765
更新日期:2008-03-01 00:00:00
abstract::OBJECTIVE: Evaluation of epidemiological, clinical and laboratory features of Plasmodium vivax malaria in children and adolescents. METHODS: This study was carried out in the Malaria Program of the Evandro Chagas Institute (Belém, Pará), from January 1995 to November 1996. 100 children and adolescents with the diagnos...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.295
更新日期:1999-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.02.009
更新日期:2019-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.08.006
更新日期:2015-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.07.011
更新日期:2020-01-01 00:00:00
abstract::OBJECTIVE: Growth curves can be used to assess intrauterine growth, to predict diseases in newborns, and to characterize different populations. The objective of this study was to obtain intrauterine growth curves of newborns from the maternity ward of the Hospital Albert Einstein (MAE) and compare them with intrauteri...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.202
更新日期:2001-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2047
更新日期:2010-11-01 00:00:00
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journal_title:Jornal de pediatria
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doi:10.1016/j.jped.2019.04.006
更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1956
更新日期:2009-11-01 00:00:00
abstract::Iron deficiency is the most frequent form of nutritional anemia, and infants represent one of the major risk groups. The present study was meant to evaluate the iron content of infant diets cooked in iron utensils and in aluminum utensils prepared by volunteer mothers at home. The iron content was analyzed by atomic a...
journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:1995-03-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.05.007
更新日期:2018-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.10.013
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Meningococcal disease continues to be a serious public health concern, being associated with high morbidity and mortality rates worldwide, particularly in Brazil. In addition to discussing recent changes in the global epidemiology of meningococcal disease, we also analyze the development and impact of new con...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1495
更新日期:2006-07-01 00:00:00
abstract::OBJECTIVE: To study plasma levels of IL-1beta and IL-6 in order to distinguish the presence of bacterial infection in newborn infants with fever. METHODS: A cohort of 117 newborn infants with postnatal age equal to or less than 5 days, with no previous use of antibiotic therapy, and with clinical suspicion of bacteria...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.253
更新日期:1999-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.588
更新日期:1996-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jped.2020.06.007
更新日期:2020-07-29 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.2087
更新日期:2011-05-01 00:00:00