Introduction :

Background: Urethral stricture is a narrowing of the urethra which can either be congenital or acquired. In most cases, it is an acquired disorder. Congenital stricture is less common and even less commonly found in paediatric population. Case presentation: A 4-Month-old baby attended outpatient department with complaint of high fever and excessive crying that was more pronounced before and during urination along with whitish discharge mixed with urine. Urine R/M/E detected plenty pus cell. Left ureter appears grossly dilated, tortuous in USG. Constriction is noted in the distal part of urethra with proximal dilatation with bilateral vesico-ureteric reflux. Conclusion: As, no other cause i.e., iatrogenic, traumatic, inflammatory, post-infectious, was found out, there remain only one possibility for this baby having urethral stricture which is idiopathic or congenital cause. Bangladesh Journal of Medical Science Vol. 22 No. 01 January’23 Page : 239-241

Aim: This study was aimed to find out the mismanagement of infantile masturbation and the outcome of the cases who were treated with anti-epileptic drugs. Study Design: Retrospective. Place and Duration of Study: This study was conducted at outpatient department of Rehabilitation and Neurology unit of Dr. M R Khan Shishu Hospital and Institute of Child Health, Dhaka Bangladesh, between 2013-2022. Methods: Data were collected from records which included socio-demographic data and clinical features of masturbation in children. Data related to treatment was also collected and their outcome was observed. Results: Among 50 patients, majority (74%) had age of onset between 12-36 months of age.   Mean age was 43±26 months, the range was between 4 months to 84 months. Female were predominant (60%). Most of the children came from urban area (86%) and belong to nuclear family (78%). They presented with stereotype movement of variable duration and there was no alteration of consciousness. Prone positioning was more frequent than prone to supine position (78% Vs 18%). There was no laboratory and EEG abnormalities among the cases. Thirty two percent patients were treated with anti-epileptic drugs from outside and among them 2 (12%) was given sodium valproate and rest 14 (88%) were treated with phenobarbitone. But there was no clinical improvement in these cases. Conclusion: Use of anti-epileptic drugs was not associated with any clinical improvement in children with infantile masturbation.

not available DS (Child) H J 2020; 36(1) : 75-77

Introduction: Late-onset neonatal sepsis is one of the most common causes of neonatal deaths in hospital as well as community in developing country like Bangladesh. It can present asmeningitis, pneumonia, pyelonephritis, or gastroenteritis. Various risk factors play important role in its causation. In this study our main goal was to evaluate the risk factors of late onset neonatal sepsis in SCANU (Special Care Newborn Unit) of a tertiary care hospital. Methods: This cross-sectional study was done in the SCANU of Dr. M.R. Khan Shishu Hospital and Institute of Child Health, Mirpur-2, Dhaka for 6 months. A total of 59 neonates with late onset sepsis in SCANU were included during the study period. Results: The socio-demographic status of the neonates with late onset sepsis shows that, most of the neonates (44.1%) were between 24 to 28 days. Also, 54.24% patients were male and 57.6% patients belong to middle economic status group. In the study, 79.7% had Cough with respiratory distress followed by 23.7% had cough only, 6.8% had fever, 52.5% had vomiting, abdominal distension, and 8.5% patients had Jaundice. Only 1.7% patients used bottles for feeding. Among neonates, the highest (49.15%) came with the risk factor of poor hygiene. The Majority (95%) of low-birthweight neonates had patchy opacity resembling pneumonia in chest x-ray. Conclusion: Poor hygiene is a high-risk factor for neonates with late onset sepsis. Bottle feeding had comparatively higher risk in developing late onset sepsis than formula feeding with spoon. Poor cord care is another risk factor. J Bangladesh Coll Phys Surg 2022; 40: 257-262