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Kawasaki disease in a five-month-old infant

Maciel, Juliana; Meireles, Daniel; Magalhães, Mariana; Gonçalves, Sara; Fernandes, Sofia Ribeiro; Fernandes, Paula Cristina

Introduction:  Kawasaki disease, an acute self-limited vasculitis of small and medium arteries of unknown etiology, is the leading cause of heart disease in children in most developed countries. If untreated, it can lead to coronary artery dilatation and aneurysm, placing patients at risk for coronary thrombosis, myocardial infarction, or sudden death. Case Report: A previously healthy five-month-old boy presen...


Pediatric idiopathic midgut volvulus and shock in the infant

Maciel, Juliana; Santos, Ana Luisa; Marinho, Ana Sofia; Figueiredo, Suzana; Araújo, Ana Rita; Morgado, Hélder; Leitão, Banquart; Sarmento, Alzira

Introduction: Intestinal volvulus is a surgical emergency in which a segment of the intestine twists over its mesenteric attachment, causing bowel obstruction. It usually presents with bilious vomiting and can progress to bowel necrosis and shock. Case Report: A 40-days-old male infant presented with acute onset irritability, bilious vomiting, abdominal distention, and hematochezia. He rapidly evolved to shock ...


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