Open Access Minireview Article
Adolescence is a phase marked by physical, emotional and, social changes culminating with sexual development and final adult height, which occur at different stages during the second decade of life. Due to their characteristics of immaturity, impulsiveness, and tendencies to take risky behaviors with sexual activity starting earlier, adolescents are subject to becoming pregnant during the first years after menarche. This article presents some characteristics of the adolescent's growth and development and the repercussions of pregnancy on her physical growth and emotional maturity.
Open Access Original Research Article
Carbon monoxide poisoning is one of the common causes of poisoning in patients. However, few studies have focused on the pediatric group. We performed this study in order to clarify the clinical characteristics of pediatric patients with Carbon monoxidepoisoning.
Methods: We retrospectively reviewed the medical records of pediatric patients (age < 14 years) diagnosed with CO intoxication and admited in the Hyperbaric Oxygen chamber of the military hospital MOHAMED V of RABAT between January 2018 and March 2020, epidemiologic and clinical data were collected, analyzed and compared with literature.
Results: A total of 112 children with CO poisoning were identified. Their ages ranged from one to 14 years, symptoms were nausea and vomiting (31%), headache (23%), altred consciousness (19%), dizziness (15%) and seizure (8%). Most events (67.8%) occurred during winter, (100%) of cases were recorded as accidental poisoning. Only one child developed delayed neurologic sequelae, with no death enregistred in our series.
The most common cause of intoxication was improperly vented exhaust produced by gas, hot water heaters (98%).(And) (20%) of patients needed two or more sessions of Hyperbaric Oxygen therapy.
Conclusion: The treatment of Carbon monoxide poisoning is a race against time. Patients requiringHyperbaric Oxygen therapy must be carefully selected within the first few hours, and kept under close observation. Children with Carbon monoxide poisoning had good outcomes in this series.
Open Access Original Research Article
Aims and Objective: To study the clinical profile and electrocardiographic changes in children with myocarditis and their prognostic significance.
Methods: 223 children presented with signs and symptoms of myocarditis from June 2016 to May 2017. Amongst them, 21 children with congenital heart disease or rheumatic heart disease and 166 children with negative cardiac markers were excluded. The remaining 36 patients with myocarditis and elevated levels of both SGOT and CKMB were studied. The patient outcome was recorded as expired or discharged. Data were analyzed using the chi-square test.
Results: Majority (13; 36%) were infants. Post infancy, there was a uniform age distribution of cases. Myocarditis was commonly seen in association with culture-negative (probably viral) pneumonia, and diphtheria. Bradycardia and A-V block, although seen less frequently, were having a significant association with mortality. Congestive cardiac failure (28.6%) and cardiomegaly (25.0%) were not significantly associated with mortality. ECG changes like Sinus tachycardia and T wave inversion (most common) and ST elevation, Q waves and low amplitude (less common) were insignificantly associated with mortality.
Conclusion: In children, myocarditis should be suspected especially in infants with unexplained breathlessness or fatigue, arrhythmia, or signs of acute cardiac decompensation. It was seen more with bacterial-culture-negative (viral) pneumonia and diphtheria. Continuous ECG monitoring and chest X-ray should be done. Congestive cardiac failure and cardiomegaly, though observed in a quarter of patients were not significantly associated with mortality. Bradycardia and A-V block have a poor prognosis and cardiac pacing should be considered. Echocardiography should be available in-house.