Fever of unknown origin.
This report describes a 3-year-old female child with prolonged fever in which a very extensive work-up resulted in the discovery of the underlying congenital anomaly causing her symptom.
Child, Preschool↗
Biomedical subjects
Suliman H Al-Fifi
Publications and source records attributed to Suliman H Al-Fifi.
Intensive insulin treatment versus conventional regimen for adolescents with type 1 diabetes, benefits and risks.
OBJECTIVE: The aim of the study is to compare the frequencies of complications among adolescents with type 1 diabetes (age 12-18 years) treated with either intensive insulin regimen (4 injections per day) or conventional regimen (2 injections per day). METHODS: The study was carried out at the Children's Hospital, Quebec, Canada during the period 1997 to 1999. This retrospective survey involves a chart study of type 1 diabetic children aged 12-18 years. The frequency of retinopathy, nephropathy (albuminuria), diabetic ketoacidosis (DKA) and hypoglycemia were determined among the children on 4 insulin injections per day and those on 2 injections per day. The 2 groups were matched for age, sex, body mass index, insulin dosages and glycosylated hemoglobin levels. RESULTS: The frequencies of DKA (25% versus 30%) and hypoglycemia (25% versus 30%) were comparatively less among the intensive therapy group compared with the conventional therapy group. The incidence of retinopathy was approximately the same (8% versus 7%) in the 2 groups and nephropathy did not feature in any patient in the series. CONCLUSION: Intensive insulin therapy appears safe and advantageous over conventional regimen in the age bracket 12-18 years as has already been proven for individuals above the age of 18 years and adults. It can be recommended for this age group to forestall the morbidity of childhood diabetes.
Adolescent↗
An unusual complication of sternal and clavicle osteomyelitis in a child with sickle cell disease.
We report an unusual child with sickle cell disease, in which osteomyelitis of the sternum and clavicle was diagnosed at the same time. The standard x-ray failed to demonstrate the lesion. Magnetic resonance imaging was very helpful in locating the site and degree of involvement. We recommend the use of magnetic resonance imaging to delineate such findings.
Anemia, Sickle Cell↗
Profile of childhood meningitis in a hospital in South West Saudi Arabia.
OBJECTIVE: To study the pattern of meningitis in children admitted to King Faisal Military Hospital, Aseer region, Kingdom of Saudi Arabia, during the period 1987 to 2000. Particular emphasis was on Hemophilus influenzae meningitis. METHODS: All the patients between the age of one month and 13 years of age, who were diagnosed with meningitis during that period, using the International Classification of Disease 9 coding system, were included in this study. RESULTS: A total of 43 cases of meningitis based on the cerebrospinal fluid results were found. The majority (74%) of these cases were less than 2 years of age. Twenty-four patients had a positive cerebrospinal fluid culture. Fifteen of them (62.5%) were due to Hemophilus influenzae. The others were due to Streptococcus pneumoniae, Klebsiella pneumoniae, Staphylococcus aureus and group B Streptococcus. The remaining 19 patients had cerebrospinal fluid findings consistent with bacterial meningitis CONCLUSION: Meningitis due to Hemophilus influenzae, constitutes a large percentage of childhood meningitis in the Kingdom of Saudi Arabia. This increase is highly attributed to the lack of vaccination against this organism. We recommend introducing this vaccine as a part of the routine vaccination schedule for all children.
Child, Preschool↗