Febbraio 2011 - Volume XXX - numero 2
Pagine elettroniche ; Ricerca
1Scuola di Specializzazione in Pediatria, Università di Trieste
2Scuola di Specializzazione in Pediatria, Università di Ferrara
3Direttore dell’UO di Pediatria, Ospedale Bufalini, Cesena
Indirizzo per corrispondenza: bramuzzo@tiscalinet.it
Key words: Rectal bleeding, Proctocolitis, Cow’s milk allergy
Rectal bleeding in newborns and infants is an alarming symptom that raises parental anxiety and usually leads to rapid medical attention. In children who are apparently well, rectal bleeding can be explained by an allergic proctocolitis triggered by cow’s milk proteins transferred to the baby via breast milk or assumed via artificial formulas. We studied retrospectively all infants with rectal bleeding that referred to our hospital and recall them after 2-11 years to assess whether colonscopy is always necessary to make diagnosis, whether children develop a major gastrointestinal disease some years after and whether the exclusion of the allergen from the diet is an effective treatment.
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Pagine elettroniche ; Caso Contributivo
1UOC Pediatria e Neonatologia, OO.RR. Penisola Sorrentina,
PO Vico Equense, Asl Napoli 3 Sud
2Clinica Ortopedica Pediatrica,
AOUP Università Federico II, Napoli
3UOC Patologia Clinica, OO.RR.
Penisola Sorrentina, PO Vico Equense, Asl Napoli 3 Sud
Indirizzo per corrispondenza: gfmazzarella@libero.it
Key words: Septic arthritis, Infant, Crying, Colic
A newborn younger than 30 days old shows a clinical picture very similar to that of colic: crying episodes, good general conditions, exclusive breastfeeding, normal weight growth, no temperature. Despite normal laboratory values, a septic arthritis of the hip does clearly come out in a few days. A timely antibiotic therapy is administered and prolonged for 4 weeks to reduce the risk of crippling consequences. Careful consideration about uncommon disease should not be avoided, even when the diagnosis seems to be clear.
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