Elena Matveeva
Hello, Irina Viktorovna! My daughter is 7 months old, on Saturday evening / 18 January / we had a temperature of 38.1. We did not do anything, because. I thought that the teeth. The temperature did not subside all weekend, but on the contrary rose. But the appetite was, I ate everything. On Monday I called the doctor. She did not say anything significant, but prescribed an antibiotic, against dysbiosis and antiviral. After she left, the temperature rose to 39.1 , called an ambulance, they also did not say anything significant, they did analgin and dimidrol. As a result, my girl fell asleep, but the temperature did not drop. The next day, in the evening, at 6 p.m. / the temperature was still 39.1 /, gave a child Panadol temperature dropped slightly to 38.5, but a rash began to appear, which we paid little attention to. In the evening, the temperature began to rise again, I gave all the medications that the doctor prescribed, the rash began to increase, gave suprostin. In the morning, the whole back and before was in a red rash, called the doctor again. She said to continue giving what I had prescribed to us. I did so The rash began to appear more and more, my daughter began to eat badly. As a result, the temperature was knocked down, but the rash did not go away. Tell me what to do, I don’t know, but I don’t give all these medications, she has weakness and lethargy, she began to sweat. Help, podskazhite.With respect Elena, thanks for earlier
This disadvantage leads to an increase in the local release of vasoactive mediators, especially bradykinin, with greater permeability of small vessels, accumulation of extravascular fluid and, consequently, edema. A feature of angioedema is the recurrence of episodes that affect the subcutaneous or submucosa. An acute episode can be caused by trauma, anxiety, or spontaneous onset. When the gastrointestinal tract is affected, patients experience nausea, vomiting, and abdominal pain. A blood test showed leukocytosis in the prevalence of neutrophils and increased the plutonium index.
Hello, Elena! I can only help you by telling you about the possible causes of this condition - but I can't make a specific diagnosis, because I can't see the baby. 1) heat and a rash can be a manifestation of an infectious disease. It is important here what size and nature of the rash and where it first appeared. With rubella, the rash is small pink and appears throughout the body within a few hours; in this case, the child still has a small runny nose, redness in the throat and enlarged lymph nodes in the back of the neck and back of the head. The latter is very important and very characteristic; check this symptom for yourself (touch the back of the neck for "balls" under the skin). But there is usually no very high T in rubella. With measles, the rash appears first on the face, on the second day - on the body and the upper part of the arms, on the third day - on the legs. Rash with measles pink spotted; spots merge in places with each other. After a few days it begins to "fade" from red to bluish and brownish. Catarrhal phenomena are very pronounced: severe runny nose, wet cough, red swollen eyes. But measles, thank God, is rare now. In recent years, she began to meet very often herpes infection 6 type (it is also called "baby roseola"). With her, high T lasts 3-5 days (and sometimes 7); then the temperature decreases, and at the same time (or a little earlier) a pink rash appears all over the body. After this, the child's condition usually improves rapidly. Is there some more enterovirus infection, in which there may also be a rash - but there is also usually diarrhea. Scarlet fever is characterized not only by a small rash on a pink background, but also by severe pain in the throat and an unusual tongue - you don't say anything about that. There is one more infection (I don't even want to name it, so as not to call it) - with it, the rash is spotty hemorrhagic, T is high, there may be convulsions. 2) Finally, a rash may appear as an allergic response to antibiotic administration. What have you been assigned? Very often this situation occurs during treatment with ampicillin or amoxicillin against a background of high T. Of course, in this case, the antibiotic must be canceled. You see how many options there are, and it's hard for you to figure it out. I probably would have taken the baby and drove up with her to the admission department of the nearest infectious diseases hospital. I don’t think they’ll put you there (if only with that very unnamed option - but I didn’t accidentally put it in almost the last place, because your T is already normal). But they will look, assess the severity of the condition and tell you how to treat (with a viral infection, for example, antibiotics are not needed at all). If one examination is not enough for a diagnosis, tests will be done. In the meantime, the essence and the matter is an abundant drink (just boiled water or tea or cranberry fruit drinks, infusion
Upon arrival at our Acceptance, T. suffered from severe pain in a stomach. An abdominal ultrasound scan confirmed the presence of abundant abdominal fluid discharge, especially in the pelvic region, with an intestinal vein on strongly thickened walls. The pediatric surgeon had a clinical presentation in the presence of intestinal angioedema without urgent surgical indications... The next day T. was in good general condition, with vital parameters in the standard; he ate regularly, did not complain of painful symptoms.
Ultrasound of the auditory abdomen was the norm. In hereditary angioedema, traditional antihistamines and corticosteroid therapy are usually ineffective in treating an acute episode. Pediatrics, Integrated Department of Mother and Child, Hospital Hospital, Modena Polyclinic.
Rashes, acne, and other skin lesions without fever do not cause such anxiety. Indeed, young children have delicate skin, and a skin rash may be evidence of allergies, diaper dermatitis, etc. However, if a high temperature “joins” the skin lesion, then the matter is more serious, because we can talk about an infectious disease.
Spontaneous pneumomediastin is defined as the passage of air or gas into the mediastinum without injury and in the absence of underlying pulmonary disease. She began treatment with ceftriaxone and pain relievers. On the first day, clinical aggravation with increased subcutaneous emphysema, widespread eruptions with hemorrhage into the chest, and a report of neck sensation. M was put into an oxygen mask and repeated repetition chest, demonstrating an increase in subcutaneous emphysema in the absence of pneumothorax phenomena.
In the following days, a gradual and gradual decrease in subcutaneous emphysema and an improvement in the radiological structure until complete standardization. Follow-up recommendations: immediate restrictions, no air travel for 6 months, or athletic or violent physical activity; potential life restrictions, sudden pressure activity, underwater, parachuting, etc. Stroke in a patient with dyspnea with previous evidence of asymptomatic heart attack and cognitive impairment.
Rash without fever
All possible reasons the appearance of a skin rash can be divided into 4 groups:
With infectious pathologies, other symptoms are also observed, including an increase in body temperature, so we will consider them later. Allergic reactions with the development of a rash can occur both with improper diet and with direct contact with an allergen. Please note that if the child is on breastfeedingthen the mother's diet plays a decisive role. When taking care of your baby's body, do not forget to ensure that all chemical substances were safe for his health and completely hypoallergenic. Check the composition of your laundry detergent, fabric softener, body cosmetics, dishwashing detergent, fabrics, bedding, and more. Multiple mosquito bites are sometimes mistaken for a rash.
Neurological complications of drepanocytosis are relatively rare in pediatric patients. Among them, silent infarction is defined as vascular suffering of the cerebral parenchyma with the formation of a malix area less than 1.5 cm in size without any neurological focal disorders. At a distance, there may be neurocognitive deficits, learning and poor school performance, with an increased risk of stroke.
At 39 months of age, the child returned to an episode of high-level clonic tonic-clonic liposuction with hypoxia and subsequent absence with desaturation and bradycardia resolved in a few seconds. For about two days S. had hyperpyresis and cough. Pediatric Surgery, Maternal Neonatal Complex Department, University Hospital, Polyclinico Modena.
A rash with pathologies of the cardiovascular system and blood is usually formed due to small hemorrhages in the skin. In this case, the child may have both large bruises of various shades, and a punctate rash that affects large areas of the body. Children's skin differs in structure from that of adults, it is softer and easier to damage. Because of this, in pediatrics, there are often diseases associated with improper hygiene of the child: diaper rash, prickly heat, diaper dermatitis. Subject to all hygiene rules, the manifestations of these skin lesions disappear.
Vomiting is common in pediatric age and is the clinical expression of many conditions. There are several more or less common reasons depending on the age. The most common cause is infectious. Clinical judgment has been found to be the overall objectivity in the standard. Infection: negative results.
A. was subjected to laparotomic surgery, which documented external compression of the annular pancreas and required a duodenomal duodenostomy. Pediatric stenosis of the duodenum is often congenital, may be complete or incomplete. In incomplete, narrowing of the duodenal lumen of an internal or external nature. The most common causes are duodenal diaphragm, rotational defect, Ladd's joints, and annular pancreas. The annular pancreas is characterized by a band of pancreatic tissue surrounding the second part of the duodenum, in continuity with the head of the pancreas, narrowing the intestinal lumen to this level.
Rash for infectious diseases
If the rash appears as a result of an infectious lesion, then the child also has other serious symptoms: 
- high body temperature (hyperthermia);
- sore throat and stomach;
- cough;
- runny nose;
- nausea and vomiting;
- chills;
- drowsiness and weakness;
- loss of appetite, etc.
Depending on the specific disease, the rash can be either the first manifestation of the infection or develop only a few days after the end of the incubation period. Usually, skin lesions among children are observed with a disease of meningococcal infection, chickenpox, measles, rubella or scarlet fever.
The main symptomatology is vomiting, which occurs in the early stages of complete stenosis; in incomplete forms, symptoms can be more nuanced and delayed, so the diagnosis can be erroneous for a long time. Therefore, despite persistent vomiting, it is important once you have eliminated the most common reasons by age, keep researching to rule out malware.
Being a "man" sometimes increases fragility. University Hospital of Pisana. G. was born from a late euthanatic birth of a postpartum pregnancy. Weight, length and cranial circumference were standard. Autonomous de-ambulation was acquired within 17 months. G. visited the nest, where he presented a slight delay in psychomotor scenes. G. reached our observation at 2 aa and 11 m, has a height, a circumference of the skull and a weight of 50 centimeters. No particular disorientation is evident; has a mild "soft" and slight weakness; he "shakes" the movements when he is excited and utters a few words.
Meningococcal disease is one of the most dangerous infectious lesions... Usually, meningococcus, which causes the disease, only causes nasopharyngitis (inflammation of the nasal membrane and throat). Nasopharyngitis is fairly quick and easy to treat and is, in fact, a simple cold. However, in some cases, meningococcal infection can also lead to inflammation of the lining of the brain (meningitis) and contamination of the blood by bacteria (meningococcemia).
This syndrome is one of the most common forms of hereditary mental retardation. The psychomotor development of affected children varies: they may have low muscle tone, slight psychomotor delay; behavioral disorders such as hyperactivity, repetitive movements, difficulty in attention, delay in language acquisition and verbal expression. A gene change consists of the extension of three nucleotide bases. In healthy individuals, these bases are repeated from 6 to 55 times, and in victims - more than 200 times.
Meningococcemia is accompanied by a bleeding rash and severe fever. The danger of this disease is that less than a day can pass from the time of the appearance of skin lesions to death. The good news: with timely therapy, the chances of a successful recovery are 80 - 90%.
Chickenpox is common among children and is popularly called “chickenpox”. Rashes with this pathology are usually observed on the trunk, scalp and on the face. Appearance the rash changes with the course of the disease. At first, these are red spots slightly protruding above the surface of the skin, and after a few hours - bubbles with transparent (later cloudy) contents. The size of such bubbles does not exceed 0.5 cm. Then they dry out and are replaced by brownish crusts. Chickenpox is always accompanied by severe itching of the skin. The peculiarity of the rash with chickenpox - the formation of new red spots is accompanied by "jumps" in temperature.
Some people have multiple intermediate repetitions that have no effect. This change is called a “pre-mutation,” and individuals with this are healthy carriers. In subsequent generations, repetitions may increase if they are passed on to the carrier prior to mutation, or expand, causing a complete mutation. The result of long-term parenteral nutrition in children with chronic intestinal failure.
Newborn babies with Down syndrome have an approximately 10% risk of transitioning to transient myeloproliferative disorder in the first days of life. This is associated with the risk of leukemic transformation: one quarter of cases within 8 months to 3 years develop into acute myeloid leukemia, most often megacaliblative M7.
A rash after a high temperature is observed with measles. In this case, skin lesions become replaceable only a few days after hyperthermia and other symptoms - redness of the throat, cough and runny nose. The peculiarity of this disease is that the rash first appears on the head and face, and then gradually descends below. Within 3 days, skin lesions cover the entire body of the child. The spots with the rash are large in size, they can merge. They are usually slightly raised above the skin level.
Pediatric Clinic, University of Brescia. Atopy, hypereosynthesis, esophageal pathology. Recent history of thoracic joint perception and syncope, subsequently dysphagia with a feeling of non-progression of a food bolus with vomiting. History: Regurgitation in the first months of life, history of perennial rhinitis and intermittent asthma with allergy to inhalants. Good general conditions with objectivity are normal.
Mucoemal diarrhea with prior evacuation of abdominal pain, previous episodes of hematopoietic stomach pain, no pain; stop growth within 2-3 months. In a recent history of an episode of inflammation respiratory tractwere treated with antibiotic therapy.
If the child has rubella, then the rash is accompanied by symptoms of intoxication, elevated temperature body, an increase in the size of the occipital lymph nodes. Unlike measles, rubella rashes spread much faster (in about a day), and disappear by about the third day, but also from top to bottom. The most characteristic places for skin lesions are the extensor parts of the limbs, buttocks.
Within a month, with complete neurological recovery, the neuroradiological picture showed a noticeable improvement with regression of the edema of the spine of the cervical spine. And sudden onset with neurological deficits, abdomen or back pain, weakness and numbness of the lower extremities, impaired temperature sensitivity to pain below the level of the corresponding and autonomic dysfunction. The specific treatment is high-dose cortisosteroids associated with supportive care for autonomic disorders and physical therapy, which should be given early stage.
At first, scarlet fever has symptoms similar to those of ordinary angina. The rash appears on the second day of illness and is a pinpoint rash that covers the entire body. Most of it is in the folds of the groin, armpits, elbows and lower abdomen. In the same areas, the skin turns red, swells and becomes hot to the touch. After a few days, all symptoms disappear, but severe flaking of the skin appears.
Prevention of kidney damage in two recent cases of rhabdomyolysis. The structure of the children's complex, Mandi Hospital, San Leopoldo, Merate. Rhabdomyolysis and syndrome caused by acute muscle injury with striated subsequent release in plasma of a large number of intracellular ions and enzymes, including myoglobin, which is excreted in large quantities in urine, may be associated with direct tubular toxicity in relation to renal failure acute. The etiology of rhabdomyolysis is numerous: viral infections, excessive stress, trauma, hypokalic, convulsive and metabolic diseases.
Please note that all of these pathologies are very serious for the health of the child and those around him. Do not put your baby at risk and do not self-medicate, it can be fraught with consequences!