Scarlet fever is essentially a childhood disease, although it may occur in all ages. Early diagnosis and treatment are essential in preventing the spread of infection and progression to life-threatening complications. The case presented describes the clinical difficulty in the diagnosis of scarlet fever in an adult patient with acute involvement of the airway (oedematous laryngitis) and the need for emergent orotracheal intubation and eventually tracheotomy. A high degree of suspicion related to the airway involvement is of utmost importance in an emergency room setting.

Introduction: The prevalence of malnutrition in hospitalized children is high and is associated with negative health impact. The aim of this study was to characterize the nutritional status of hospitalized children as well as comparing nutritional risk stratification using the STRONGkids® tool and anthropometric assessment.Material and Methods: A prospective study was conducted between March and June 2019 in a paediatric unit of a district hospital. Children with ages between one month and 17 years were included. Nutritional screening (STRONGkids®) was performed, and demographic and anthropometric variables were assessed by trained doctors and nurses (z-scores for height-for-age, weight-for-age, weight-for-height and body mass index were compared to the World Health Organization reference values) and related to the underlying condition (cause of hospitalization; hospital stay; the presence of chronic disease).Results: A total of 209 children were evaluated, 188 of whom were included. Median age was 4.6 years and median hospital length of stay was four days. Fifty-four per cent were classified with “moderate risk” and 2% with “high risk” of developing malnutrition; 25% were effectively malnourished. Of the 105 children for which it was possible to calculate the z-scores, 6% presented acute malnutrition and nearly 14% presented chronic malnutrition. The STRONGkids® score correlated positively with nutritional status on admission, disease type on admission, and presence of previous underlying disease (p < 0.05).Conclusion: STRONGkids® is a simple, quick nutritional screening tool for hospitalized children that is related to nutritional status on admission. Given that a considerably high percentage of children were identified as being at risk for malnutrition, it is essential to identify this early and provide nutritional intervention during hospitalization.

6.027 (95% CI, 3.996-9.090) for inotropic drug usage, 2.348 (95% CI, 1.547-3.564) for RBC transfusion requirement, 1.655 (95% CI, 1.162-2.356) for RDW>15.1% and 2.950 (95% CI, 1.933-4.503) for PLT < 150 × 103/uL.The AKI is associated with prolonged hospitalization and increased mortality.among critically ill children. In patients with AKI, the need for mechanical ventilation, CRRT and inotropic drugs was statistically associated with mortality.

done. After surgery, T4aN1bM1stage IV was established. Neoplastic markers were all negative and a KRAS gene mutation was detected.Currently, she has a fully implanted central venous catheter and is doing adjuvant chemotherapy. Conclusion Iron deficiency anemia is very common in adolescents but sometimes worst diseases emerge. Adenocarcinoma in adolescents is very rare and is commonly diagnosed in advanced stage presentation. Diagnostic is facilitated when abdominal symptoms begin or when there are familiar predisposing syndromes.