Paracetamol (also known as Acetaminophen) is an antipyretic, non-opioid analgesic, and non-steroidal anti-inflammatory drug (NSAID), and is one of the most commonly used medications worldwide. In recent years, IV paracetamol has been frequently used in hospitalized patients to reduce fever and pain. Significant adverse reactions associated with intravenous paracetamol are extremely rare. Typically reported adverse events include hypotension, malaise, hypersensitivity reaction, liver enzyme elevation, and thrombocytopenia. We present herein a case of IV paracetamol infusion-related severe hypotension and cardiac arrest.
SummaryAim: In recent years, the frequency of food allergy in children has gradually increased. Food allergy affects growth, development and quality of life adversely. There is no enough research in the preschool age group in which food allergy is observed more frequently. In this study, we investigated the prevalence of food allergy in nursery and kindergarten children living in Samsun. Material and Method: Nursery and kindergarten children living in Samsun were included in this study. A standardized self-administered questionnaire on food allergy was handed out to 2390 parents. We achieved a response rate of 53.5%. The parents of children with suspected food allergy were called by phone to learn detailed history. Results: The prevalence of food allergy in nursery and kindergarten children in Samsun province was found to be 7.7% (99 subjects). 51.5% of 99 subjects who were found to have food allergy were male. There were no differences between the mean age of children with FA (5.03±1.0) and the healthy children (5.17± 0.86). The prevalence of FA in the three-year-old group was lower than the other age groups. The most common allergic foods were hen's egg (25.3%) and chocolate (21.2%), foods additives (1.2%), strawberry (9.2%), cow milk (7.1%) and nut (4.1%). The most commonly reported systemic reactions against foods were related with skin (53.5%) and gastrointestinal systems (31.4%). Conclusions: The prevalence of FA was similar to our country and the Asian countries, but lower than the European and American countries. In preschool children with recurrent skin and gastrointestinal tract symptoms, FA should be kept in mind. (Turk Arch Ped 2013; 48: 288-293)
590Peutz-Jeghers Sendromlu Çocuk Olgularımızın Değerlendirilmesi; Ondokuz Mayıs Üniversitesi Deneyimi Ö ÖZ ZE ET T A Am ma aç ç: : Pe utz-Jeg hers sen dro mu, du dak lar da ve mu ko za lar da me la no tik ma kül ler ve gas troin tes ti nal ka nal da po li po zis ile ka rak te ri ze bir has ta lık tır. Or ta la ma ta nı al ma ya şı nın 20'li yıl lar oldu ğu bi li nen bu tab lo, er ken ço cuk luk dö ne min de tek rar la yan ka rın ağ rı la rı ve dü zel me yen de mir ek sik li ği ane mi si gi bi da ha sin si bul gu lar la kar şı mı za çı ka bi lir. Bu ya zı da ama cı mız ço cuk luk ça-ğın da Pe utz-Jeg hers sen dro mu ta nı sıy la iz le nen has ta la rı mı zın baş vu ru ya kın ma la rı, ta nı ve te davi iz lem le ri ile il gi li de ne yim le ri mi zi pay laş mak tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Pe utz-Jeg hers sen dro mu ta nı sıy la iz le nen beş has ta nın baş vu ru ya kın ma la rı, kli nik, la bo ra tu var, en dos ko pik ve his to pa to lojik bul gu la rı ve iz lem sü reç le ri ile il gi li ve ri ler de ğer len di ril di. B Bu ul l g gu u l la ar r: : Has ta ne mi ze baş vu ru yaş or ta la ma la rı 7.3 ± 3 (2.5-10) yıl dı. Ka rın ağ rı sı has ta la rın hep sin de (%100), akut ka rın tab lo su (inva ji nas yon) iki (%40), kan sız lık-so luk luk üç (%60) has ta da ilk baş vu ru ya kın ma sıy dı. Has ta la rın hep sin de du dak lar da hi per pig men te ma kül ler ve po zi tif ai le öy kü sü var dı. Ha mar to ma töz ya pı daki po lip ler je ju num (%100), mi de (%80), rek tum (%60), ve du o de num da (%20) sap tan dı. S So o n nu uç ç: : Te da viy le dü zel me yen de mir ek sik li ği ane mi si ve tek rar la yı cı ka rın ağ rı la rı olan ço cuk lar da, ai le öy-kü sü nün po li po zis açı sın dan iyi alın ma sı ve Pe utz-Jeg hers sen dro mu nun ayı rı cı ta nı da dü şü nül -me si, bu has ta la rın ve var sa di ğer ai le bi rey le ri nin ta nı ve iz lem le ri açı sın dan ye rin de ola cak tır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Pe utz-Jeg hers sen dro mu; ane mi, de mir ek sik li ği; ka rın ağ rı sı; hi per pig men tas yon; in tes ti nal po lip ler A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : Pe utz-Jeg hers syndro me is a di se a se cha rac te ri zed by me la no tic ma cu les on the lips and the mu co us membranes and poly po sis in the gas tro in tes ti nal trac tus. This con di ti on which is known to be di ag no sed aro und 20 ye ars of age can ap pe ar with re cur rent ab do mi nal pa in and cause mo re in si di o us symptoms as ref rac tory iron de fi ci ency ane mi a in early child ho od. In this re port, we ai med to sha re our ex pe ri en ces on the app li ca ti on comp la ints, di ag no sis and the ra pe utic mo ni to ri za ti on of our pa ti ents who we re fol lo wed up with di ag no sis of Pe utz-Jeg hers syndrome in child ho od. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Admission comp la ints, cli ni cal, la bo ra tory, en dos co pic and his to pat ho lo gi cal fin dings and da ta of mo ni to ri za ti on of five pa ti en...
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