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Irina Ciomaga

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Articole semnate de acelasi autor in Revista Romana de Pediatrie:

BOALA TROMBOEMBOLICA LA COPIL (EPIDEMIOLOGIE, ETIOPATOGENIE SI DIAGNOSTIC) (I)

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Revista Romana de PEDIATRIE | Volumul LXV, Nr. 2, An 2016
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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BOALA TROMBOEMBOLICA LA COPIL (EPIDEMIOLOGIE, ETIOPATOGENIE SI DIAGNOSTIC) (I)

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REZUMAT

Tromboza este rezultatul unui dezechilibru între două sisteme complexe: hemostaza şi fibrinoliza. Deşi incidenţa tromboembolismului este mai mică la copii decât la adulţi, morbiditatea asociată acestei patologii este semnificativă din punct de vedere clinic. Lucrarea îşi propune o trecere în revistă a principalilor factori de risc importanţi în definirea unor strategii eficiente pentru tromboprofilaxia primară la copiii cu risc pentru boala tromboembolică, a criteriilor diagnostice şi a conduitei terapeutice optime, care, până în prezent, au fost în mare parte extrapolate din recomandări pentru tromboembolismul venos (TEV) la adulţi.

Cuvinte cheie: tromboză, copil, terapie anticoagulantă.

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THROMBOEMBOLIC DISEASE IN CHILDREN (EPIDEMIOLOGY, ETIOPATHOGENY AND DIAGNOSIS) (I)

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Revista Romana de PEDIATRIE | Volumul LXV, Nr. 2, An 2016
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Promoting Global Health

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THROMBOEMBOLIC DISEASE IN CHILDREN (EPIDEMIOLOGY, ETIOPATHOGENY AND DIAGNOSIS) (I)

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ABSTRACT

Thrombosis is the result of an imbalance between two complex systems: hemostasis and fibrinolysis. Although the incidence of thromboembolism is lower in children than in adults, the associated morbidity is clinically relevant. This paper summarizes the main risk factors – important in defining effective strategies for primary thromboprophylaxis in children at risk, the diagnostic criteria and the optimal therapeutic approach, which have mostly been extrapolated from the adult’s recommendations until now.

Keywords: thrombosis, child, anticoagulant therapy.

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Dentocalmin poisoning

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Dentocalmin poisoning

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ABSTRACT

Dentocalmin is a contact anesthetic, analgesic and local antiseptic treatment used in dentistry. Poisoning with this substance causes severe clinical manifestations due to lidocaine and phenol, the main active constituents. We present the case of an 11 months old infant, accidentally poisoned with dentocalmin, admitted with seizures followed by cardiopulmonary arrest. He was resuscitated and mechanically ventilated for 24 hours. The evolution was favourable, despite high toxic dose and complications arising from endotracheal intubation – pneumothorax, pneumomediastinum and cervical and thoracic subcutaneous emphysema. The child was discharged 10 days later, in good general condition, without neuropsychiatric sequelae.

Key words: dentocalmin, poisoning, seizures, cardiopulmonary arrest, child

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MANIFESTARI CLINICE IN INTOXICATIA CU DENTOCALMIN

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

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MANIFESTARI CLINICE IN INTOXICATIA CU DENTOCALMIN

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REZUMAT

Dentocalminul este un anestezic de contact, analgezic şi antiseptic utilizat pentru tratament local în stomatologie. Intoxicaţia cu această substanţă determină manifestări clinice grave datorate lidocainei şi fenolului, principalii constituenţi activi. Prezentăm cazul unui sugar de 11 luni intoxicat accidental cu dentocalmin, internat cu stare de rău convulsiv urmat de stop cardiorespirator. A fost resuscitat şi ventilat mecanic timp de 24 ore. Evoluţia a fost favorabilă, în pofida dozei toxice mari şi a complicaţiilor survenite ca urmare a intubării orotraheale – pneumotorax, pneumomediastin şi emfizem subcutanat cervical şi toracic, copilul fiind externat după 10 zile, cu stare generală bună, fără sechele neuropsihice.

Cuvinte cheie: dentocalmin, intoxicaţie, convulsii, stop cardiorespirator, copil

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FETOPATIA VARICELO-ZOSTERIANA – CAZ CLINIC

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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FETOPATIA VARICELO-ZOSTERIANA – CAZ CLINIC

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REZUMAT

Fetopatia varicelo-zosteriană apare la sugar în urma infecţiei cu virus varicelo-zosterian la mamă în primele două trimestre de sarcină. Autorii descriu cazul unui sugar de sex feminin, în vârstă de 4 luni, care a ajuns în observaţie pentru întârziere în dezvoltarea neuropsihomotorie pentru vârsta cronologică. Tabloul neurologic, anomaliile evidenţiate la examenul oftalmologic, istoricul matern de varicelă gestaţională şi titrul crescut al IgG pentru virusul varicelo-zosterian au susţinut diagnosticul de fetopatie varicelo-zosteriană. Fetopatia varicelozosteriană este o afecţiune rară, dar severă, caracterizată prin semne cutanate, oculare şi neurologice şi la care profilaxia primară este deosebit de importantă. În cazuri rare, ca şi cel prezentat, tabloul clinic poate fi incomplet fiind prezente doar manifestările neurologice şi oftalmologice.

Cuvinte cheie: fetopatie varicelo-zosteriană, manifestări neurologice, tulburări ocular, profilaxie primară

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VARICELLA ZOSTER VIRUS FETOPATHY – CLINICAL CASE

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Promoting Global Health

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VARICELLA ZOSTER VIRUS FETOPATHY – CLINICAL CASE

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ABSTRACT

Varicella zoster virus fetopathy occurs in infants after infection with varicella-zoster virus from mother during the first two trimesters of pregnancy. The authors describe the case of a female infant, aged 4 months, which came under observation for neuro developmental delay for chronological age. Neurological exam, abnomalities detected on ophthalmologic examination, maternal history of gestational varicella and increased IgG titer to varicella-zoster virus supported the diagnosis of varicella zoster virus fetopathy. Varicella zoster virus fetopathy is a condition characterized by severe skin damage, ocular, skeletal and nervous system anomalies to whom the primary prophylaxis is extremely important. In rare cases, like that presented, the clinical picture may be incomplete only neurological and ophthalmic manifestations was present.

Keywords: varicella zoster fetopathy, neurological symptoms, ocular abnormalities, primary prophylaxis

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