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  1. Article ; Online: Neonatal herpes simplex virus encephalitis with intracranial bleeding in a newborn baby with concurrent rhesus incompatibility.

    Clemence, Pascal / Mariki, Haika / Mkony, Martha / Manji, Karim Premji

    BMJ case reports

    2024  Volume 17, Issue 3

    Abstract: We report a baby with neonatal herpes simplex virus (HSV) encephalitis concurrent with Rrhesus (Rh) incompatibility. He was delivered by a Ggravida 2 mother with a history of miscarriage in her previous pregnancy at a gestation age of 4 months. She had ... ...

    Abstract We report a baby with neonatal herpes simplex virus (HSV) encephalitis concurrent with Rrhesus (Rh) incompatibility. He was delivered by a Ggravida 2 mother with a history of miscarriage in her previous pregnancy at a gestation age of 4 months. She had Bblood group 0 and Rrhesus negative. The baby was noticed to have jaundice on day one1 of life accompanied by generalised petechiae on the face and upper chest. A full blood picture revealed severe anaemia and severe thrombocytopaenia and HSV 1/2 IgM was positive. MRI of the brain showed multiple extensive haemorrhagic lesions on the frontal-temporal regions.
    MeSH term(s) Male ; Infant, Newborn ; Infant ; Pregnancy ; Female ; Humans ; Herpes Simplex/complications ; Herpes Simplex/diagnosis ; Herpes Simplex/drug therapy ; Encephalitis, Herpes Simplex/complications ; Pregnancy Complications, Infectious/diagnosis ; Simplexvirus
    Language English
    Publishing date 2024-03-08
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-255822
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Caudal regression syndrome without maternal diabetes mellitus.

    Mwamanenge, Naomi / Mariki, Haika / Mkony, Martha / Manji, Karim Premji

    BMJ case reports

    2023  Volume 16, Issue 3

    Abstract: Caudal regression is a rare complex disorder impacting the formation of the caudal segment of the spine and spinal cord. We report a preterm newborn baby who was referred to us due to respiratory distress syndrome and bilateral knee contracture. A ... ...

    Abstract Caudal regression is a rare complex disorder impacting the formation of the caudal segment of the spine and spinal cord. We report a preterm newborn baby who was referred to us due to respiratory distress syndrome and bilateral knee contracture. A clinical examination and a radiographic skeletal survey revealed a short spinal cord with complete agenesis of the lumbar, sacrum and coccygeal spine, and hypoplastic iliac bones with bilateral knee contractures. The mother did not have diabetes. The long-term outcome is not well-known in our set-up.
    MeSH term(s) Pregnancy ; Infant, Newborn ; Female ; Humans ; Sacrum/diagnostic imaging ; Spinal Cord ; Abnormalities, Multiple ; Spinal Diseases ; Diabetes, Gestational ; Nervous System Malformations
    Language English
    Publishing date 2023-03-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-253136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Neurocristic cutaneous hamartoma of the scalp with disseminated melanocytic nevi.

    Mariki, Haika / Mwamanenge, Naomi / Mkony, Martha / Manji, Karim Premji

    BMJ case reports

    2023  Volume 16, Issue 2

    Abstract: We report a newborn with neurocristic cutaneous hamartoma of the scalp. He was delivered at term via caesarean section due to a previous scar and presented at the neonatal unit on the fifth day with giant congenital nevi on the scalp and disseminated ... ...

    Abstract We report a newborn with neurocristic cutaneous hamartoma of the scalp. He was delivered at term via caesarean section due to a previous scar and presented at the neonatal unit on the fifth day with giant congenital nevi on the scalp and disseminated melanocytic nevi throughout the body. The MRI scan of the brain showed a defect at the occipital region with herniation of the occipital lobes and ventricles through the defect, with infratentorial brain parenchyma exhibiting normal signal return and intact cerebellum. The initial diagnosis was a giant haemangioma, which has ruptured, and possible cytomegalovirus infection, causing 'blueberry muffin' syndrome. On follow-up, the hamartoma/haemangioma-like mass regressed, and a large well-demarcated melanotic patch on scalp and large encephalocele were seen. This infant is now being scheduled for neurosurgical intervention.
    MeSH term(s) Pregnancy ; Male ; Infant ; Infant, Newborn ; Humans ; Female ; Scalp ; Cesarean Section ; Nevus, Pigmented/diagnostic imaging ; Nevus, Pigmented/congenital ; Skin Diseases/congenital ; Skin Neoplasms/diagnosis ; Hamartoma/diagnostic imaging
    Language English
    Publishing date 2023-02-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-253156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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    Inter-library loan at ZB MED

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  4. Article ; Online: Osteogenesis imperfecta type VIII: highlighting the need for genetic testing.

    Mariki, Haika / Muze, Kandi / Mussa, Fatima / Manji, Karim Premji

    BMJ case reports

    2023  Volume 16, Issue 7

    Abstract: We report a severe form of osteogenesis imperfecta (OI) type VIII from a lower-middle income country. This is the first case report of this type in Tanzania. The term neonate was delivered normally via spontaneous vaginal delivery and presented at the ... ...

    Abstract We report a severe form of osteogenesis imperfecta (OI) type VIII from a lower-middle income country. This is the first case report of this type in Tanzania. The term neonate was delivered normally via spontaneous vaginal delivery and presented at the neonatal unit with features of shortened limb girdles and macrocephaly. The long bones had multiple fractures. He was diagnosed clinically to have OI or a type of metaphysial dysplasia. A plain X-ray showed multiple fractures of the long bones. The eyes did not have blue sclerae. Clinically, the generic diagnosis of OI was made.Genetic testing revealed typical prolyl 3-hydroxylase 1 (
    MeSH term(s) Male ; Infant, Newborn ; Female ; Humans ; Osteogenesis Imperfecta/diagnosis ; Osteogenesis Imperfecta/genetics ; Fractures, Multiple ; Genetic Testing ; Osteochondrodysplasias ; Mutation
    Language English
    Publishing date 2023-07-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-253155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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  5. Article ; Online: Esophageal atresia with tracheoesophageal fistula: two case reports.

    Mwamanenge, Naomi A / Mariki, Haika K / Mpayo, Lucy L / Mwipopo, Ernestina E / Mussa, Fatima / Nyamuryekung'e, Masawa K / Binde, Yahaya / Kiangi, Said / Bokhary, Zaituni / Mkony, Martha / Abdallah, Yaser / Manji, Karim

    Journal of medical case reports

    2023  Volume 17, Issue 1, Page(s) 540

    Abstract: Background: The incidence of esophageal atresia with tracheoesophageal fistula is 1 out of 3000-5000 live births. Its incidence in lower middle income countries is not known. The infants usually present with excessive secretions or choking while feeding ...

    Abstract Background: The incidence of esophageal atresia with tracheoesophageal fistula is 1 out of 3000-5000 live births. Its incidence in lower middle income countries is not known. The infants usually present with excessive secretions or choking while feeding and are at risk for aspiration. The outcome of these infants in lower middle income countries is not encouraging due to delays in referral, sepsis at presentation requiring preoperative stabilization, postoperative complications such as anastomosis leaks, pneumonia, and pneumothorax.
    Case presentation: We present two African babies who were term infants at age 2 days (male) and 5 days (female) with diagnosis of esophageal atresia and tracheoesophageal fistula. The 5-day-old infant required preoperative stabilization due to sepsis and delayed surgery with a poor postoperative outcome. The 2-day-old infant was preoperatively stable and had a good postoperative outcome. The challenges faced in management of these two cases have been highlighted.
    Conclusion: Outcome of infants with esophageal atresia and tracheoesophageal fistula in lower middle income countries is not encouraging due to delays in referral and poor postoperative healing attributed to sepsis and recurrent pneumothorax. Timely referral, preoperative condition of the infant, and timely management has shown to be a contributory factor for an improved outcome.
    MeSH term(s) Female ; Humans ; Male ; Anastomotic Leak/etiology ; Anastomotic Leak/surgery ; Esophageal Atresia/complications ; Esophageal Atresia/surgery ; Pneumothorax/complications ; Postoperative Complications/surgery ; Retrospective Studies ; Sepsis/complications ; Tracheoesophageal Fistula/diagnosis ; Tracheoesophageal Fistula/surgery ; Tracheoesophageal Fistula/complications ; Infant, Newborn
    Language English
    Publishing date 2023-12-31
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-023-04278-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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