Journal of Pediatric Diseases

Abstract We report a newborn baby boy readmitted to the hospital at 7 days of life with acute dengue due to vertical transmission. A 32-year-old primigravida at 38+ weeks of gestation, with no antenatal care and with severe pre-eclampsia, delivered a normal term baby boy by spontaneous vaginal delivery and recovered uneventfully during her postpartum period. The normal term baby boy was admitted to the Neonatal Intensive Care Unit (NICU) for five days due to low birth weight for gestational age, and was asymptomatic except for the transient initial mild thrombocytopenia, from which he recovered uneventfully during the following 48 h. He developed a high-grade fever on day 7 of post-natal life (48 h after being discharged). The baby was treated with appropriate fluid management of antibiotics and paracetamol administered intravenously. Blood cultures were negative and other laboratory findings were unremarkable. He did not have a fever during his admission and was discharged uneventfully after seven days. Clinical diagnosis of acute dengue virus infection was confirmed by laboratory tests of IgG and IgM antibodies in both the baby (on the readmission day) and mother (from the first blood sample on the day of delivery, seven days prior to readmission). The mother acknowledged having fever and bone pain four days prior to delivery; however, the information was not relayed when she was admitted during labor due to language barriers.

Abstract This paper analyzes the imaging and gastrointestinal function of patients with abdominal purpura by searching domestic (China) and foreign literature, combined with clinical experience, and explores the possible characteristics of the disease of the children's abdominal from the three perspectives of Helicobacter pylori infection, parasitic infection and food-intolerance type of purpura, as well as the development of closely related factors and new ideas for the clinical treatment of abdominal purpura children and for avoiding exposure to risk factors in order to reduce the recurrence rate.

Abstract The objectives is to establish a positive correlation between the serology titer of Mycoplasma pneumoniae and the severity of pneumonia, with an emphasis on severity of disease presentation between two different age groups. The research included 110 children admitted at the Tianjin Medical University General Hospital, Tianjin, China, from May 2010 to October 2010. This study included disease history, clinical examination findings, laboratory investigations including Mycoplasma pneumoniae antibody titer (MP-IgM) level as well as imaging, and duration of in-patient treatment. The results of the parameters were also compared between two age groups: children <5 years old and ≥5 years old. Seventy-six percent of the patients who had severe presentation of the disease had a high titer of MP-IgM and 63% of them were older than five years. Platelet level seems to be a promising indicator of progression of disease. Leukocytosis was present in only 4.5% of the 110 children. The C-reactive protein was significantly raised in those older than five years of age. A significant correlation has been found between the severity of disease and Mycoplasma pneumoniae serology titer level in children suffering from Mycoplasma pneumoniae pneumonia.