Acute Abdomen in Pediatric Patients With Lassa Fever: Prevalence and Response to Nonoperative Management.

Autor: Akpede GO; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Adetunji AE; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Udefiagbon EO; Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Eluehike SO; Departments of Radiology, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Odike AI; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Ewah-Odiase RO; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Omosofe FO; Departments of Anaesthesia, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Akerele JM; Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Atafo RO; Departments of Nursing Services Unit, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Okonofua MO; Departments of Nursing Services Unit, Irrua Specialist Teaching Hospital, Edo State, Nigeria.; Departments of Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Onyeke I; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Oyedeji OA; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Mbanefo K; Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Ogbaini-Emovon E; Departments of Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Okokhere PO; Departments of Medicine, Irrua Specialist Teaching Hospital, Edo State, Nigeria., Günther S; Bernhard-Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arboviruses and Hemorrhagic Fever Reference and Research, Department of Virology, Hamburg, Germany., Dongo AE; Departments of Surgery, Irrua Specialist Teaching Hospital, Edo State, Nigeria.
Jazyk: angličtina
Zdroj: Journal of the Pediatric Infectious Diseases Society [J Pediatric Infect Dis Soc] 2019 Dec 27; Vol. 8 (6), pp. 519-524.
DOI: 10.1093/jpids/piy093
Abstrakt: Few reports on the prevalence of acute abdomen (AAbd) in pediatric patients with Lassa fever (LF) are available, and no firm policy on its management exists. Here, we report on its prevalence in and the response to treatment among a cohort of children with confirmed LF. Six (10.3%) of 58 children with LF had AAbd, whereas 6 (2.8%) of 215 children with AAbd had LF. Nonoperative treatment was successful in 5 of the 6 children with both AAbd and LF. We conclude that AAbd is not uncommon in pediatric patients with LF, and it could be responsive to nonoperative treatment. Testing for LF in all children with febrile AAbd might be justified in areas in which LF is endemic.
(© The Author(s) 2018. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze: MEDLINE
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