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Recent Articles

A Clinical Case Study of Paratesticular Rhabdomyosarcoma of Young Adult

Para-testicular rhabdomyosarcoma (RPT) is a rare tumor of children and adolescents. The diagnosis is made by the anatomopathological study. The treatment must be multimodal and involves surgery, chemotherapy and radiotherapy. We report the case of a 19-year-old adolescent in our department for an embryonic-type para-testicular rhabdomyosarcoma. Our aim is to expose a rare and unknown case that may be life-threatening. We would like to emphasize on the fact that paratesticular rhabdomyosarcoma need to be brought up in front of a tissular process expanding in the scrotum with normal testicules.

Retrospective Analysis of 185 Occurrences of Clinical Neurological Signs in 181 South American Camelids

Medical records of each occurrence of neurologic signs in 181 South American Camelids admitted on 185 occasions (90 alpacas and 95 llamas) were evaluated. Age ranged from 0 days to 20 years, but 70.5% of cases were ≥ 1 year old. Specific clinical diagnosis was achieved by cerebrospinal fluid analysis (CSF), radiographs, computed tomography, laboratory testing, or necropsy in 74% of cases. 54% of cases survived; 46% of cases died or were euthanized. The most common diagnosis (31%) was parasitic myelopathy/encephalopathy (PME). CSF eosinophilia ≥10% was found in 85% of parasitic spinal migrations but only in 55% of intracranial migrations, and 73% had increased protein in CSF. There was a seasonal bias for PME with 79% of cases occurring between October and March. Survival of PME cases was 77% for spinal migration but only 7% when intracranial migration occurred. The most common diagnoses, excluding PME, were infectious disease (15%) and trauma (12%). Most trauma cases involved the cervical spine of which 50% survived.

Upper Oesophageal Foreign Body with Acute Drooling in a Child with Congenital Hypotonia

Foreign body ingestion and aspiration commonly affect children. The most vulnerable age is early childhood when children tend to explore new objects with their mouths or by an accident by elder siblings. A 2-year-old female child who is known to have congenital hypotonia, status post laparoscopic fundoplication and gastrostomy tube feeding (G- tube) inserted at age one year. Then she was in stable condition till when presented with acute unexplained drooling of frothy whitish secretions, mild cough and difficulty breathing with hypoxemia. X-ray chest and upper abdomen revealed normal. She underwent flexible bronchoscopy revealed normal and then direct laryngoscopy was extracted a covering plastic of the feeding tube in the upper end cervical oesophagus by Magill forceps technique. Subsequently her symptoms resolved completely. To increase the likelihood of identifying foreign body ingestion and aspiration, healthcare professionals should maintain a high index of suspicion even in children with neuromuscular disorder.