Background: Toys with magnetic balls and objects can lead to serious consequences in children. We report a child with a history of magic ball (magnetic toy) ingestion. Case Presentation: A 4-years-old girl, previously healthy and developmentally normal, presented to the emergency department of the hospital with a 10 days history of vomiting and abdominal pain. Parents took her to different hospitals, where she was treated as a case of acute gastroenteritis and gastritis. Routine laboratory tests were normal, and an abdominal ultrasound also did not reveal any abnormality. Parents also did not report anything unusual in history. An abdominal X-ray was done in the Emergency room, which showed a collection of approximately 18 rounded radiopaque objects in the right lower abdomen with the signs of intestinal obstruction. Magnetic balls were removed after laparotomy followed by uneventful recovery. Conclusion: Awareness about the serious consequences of magnetic toy ingestion and the need to supervise children while playing is emphasized. It is strongly recommended that to reduce further damage, the International Safety Standards for the use of small magnets should be established.
Background: Liver abscess has been reported in children, but amoebic liver abscess is very rare in infants. This is a rare case report of an amoebic liver abscess in a 45-day-old baby. Case Presentation: A 45-day-old male baby was referred to the gastroenterology department with an 8-days history of fever and vomiting off and on. His feed intake was less than usual, but otherwise did not have any other systemic complaints. On examination, the liver was enlarged 3 cm below the coastal margin. Routine labs were conducted along with liver ultrasound and Computed tomography (CT scan) of the abdomen. Ultrasound revealed multiple liver abscesses. CT scan showed cystic lesions in the right lobe of the liver. Enzyme-linked immunosorbent assay test was positive for amoebiasis. The baby was treated with antibiotics and discharged after 2 weeks. He was advised to take oral metronidazole for 4 weeks. After a month, he was reviewed in the follow-up clinic with complete recovery and normal ultrasound. Conclusion: Amoebiasis is endemic in developing countries [1]. It is the second most common cause of mortality after malaria [2]. It is common in adults but rare in small children [3]. Awareness about good hygiene and drinking clean boiled water should be emphasized.
A four-month-old infant, previously healthy and developmentally normal, presented to the emergency department (ER) of a tertiary care hospital with hematemesis and pallor for one day, as well as a three-week history of irritability and intermittent vomiting. The infant was taken to various hospitals in their town, where he was given symptomatic treatment for vomiting and the mother was advised to feed infant. Nothing out of the ordinary was reported by the parents. The infant's symptoms were managed in the ER, and baseline labs were performed to determine the cause of the blood-stained vomiting and pallor. Except for a low Hb level, the baseline labs were normal. An abdominal x-ray revealed a stainlesssteel blade in his stomach. The ingestion of a blade was unknown to the parents. The case was referred to pediatric gastroenterology for further treatment. The blade was removed through endoscopy, and recovery was uneventful. Conclusion: The importance of supervising infants and young children under all circumstances is emphasized
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