Helicobacter pylori (H. pylori) is a microaerophilic gram-negative bacterium infecting approximately one half of the world’s population. The oral cavity and dental plaque may be a reservoir for H. pylori infection. Diagnosis of H. pylori infection in children differs from that of adults. Although H. pylori has long been known to be detected in the oral cavity, the significance of such findings are controversial. Oral H. pylori may play an important role in re-infection of the gastric mucosa. The gold standard for eradicating H. pylori infection is standard triple therapy. The studies have shown promising results in the management of both oral and gastric H. pylori.
In der bakteriellen Ätiologie der Durchfallerkrankungen des Säuglings spielen in der gemäßigten Zone Salmonellen und Shigellen eine geringe Rolle, im Gegensatz zu warmen Zonen. Parakolibazillen kommen bei Darmkranken anscheinend nicht häufiger als bei Darmgesunden vor.
BakteriologieAusgehend von den bei Kälberruhr vorkommenden Kolitypen wies ich vor 30 Jahren nach, daß sich im Dünndarm an toxischer Enteritis verstorbener Säuglinge vorzugsweise Saccharose vergärende Kolitypen mit besonders starkem Gärvermögen finden. Mittels Vergärung verschiedener Zucker und Alkohole konnte ich 1927 vorzugsweise 2 solcher Kolitypen differenzieren. Ich bezeichnete sie als ,,Dyspepsiekoli". Sie gehören zur Gruppe A I und A IV:
BackgroundSubocclusive intestinal syndrome is caused by a heterogeneous group of enteric neuromuscular diseases that causes abnormalities of gut motility. Subocclusive syndrome can occur at any age, but in young children, most often, can be fatal. This may be due to intrinsic primary or secondary visceral disorders (drug toxicity, ischemia, inflammatory or autoimmune diseases, infection with Epstein-Barr virus or cytomegalovirus, myopathies).Case presentationWe present the case of an infant male, 1 month and 2 week old, admitted in the Paediatric Gastroenterology Clinic, „St. Mary’ Children Emergency Hospital, Iasi, Romania for jaundice and the appearance of flatulence, with progressive intensification from the age of 3 week old, with loose stools. Laboratory analysis revealed a positive Cytomegalovirus IgG and IgM antibodies.ConclusionCytomegalovirus infection should be considered in intestinal pseudo-obstruction in order to initiate appropriate treatment and avoid serious complications that may arise.
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