71 results on '"Krzysztofiak, Andrzej"'
Search Results
52. Re-emergence of Measles in Young Infants
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Bozzola, Elena, primary, Quondamcarlo, Anna, additional, Krzysztofiak, Andrzej, additional, Lancella, Laura, additional, Romano, Mariateresa, additional, and Tozzi, Alberto, additional
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- 2011
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53. Linezolid Therapy of Brain Abscess
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Krzysztofiak, Andrzej, primary, Bozzola, Elena, additional, Lancella, Laura, additional, Quondamcarlo, Anna, additional, Gesualdo, Francesco, additional, and Ugazio, Alberto G., additional
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- 2010
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54. Risk factors of complicated H1N1 influenza in hospitalized Italian children
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Bozzola, Elena, primary, Krzysztofiak, Andrzej, additional, Lancella, Laura, additional, and Tozzi, Alberto, additional
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- 2010
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55. Mucocutaneous Manifestations in Children with HIV Infection and AIDS
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Hachem, May El, primary, Bernardi, Stefania, additional, Pianosi, Giuseppe, additional, Krzysztofiak, Andrzej, additional, Livadiotti, Susanna, additional, and Gattinara, Guido Castelli, additional
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- 2009
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56. Immunological response in congenital cytomegalovirus infection
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Freda, Elio, primary, Romiti, Maria Luisa, additional, LiPira, Giusy, additional, Casciano, Fabio, additional, Simonetti, Alessandra, additional, Manca, Fabrizio, additional, Krzysztofiak, Andrzej, additional, Rossi, Paolo, additional, D' Argenio, Patrizia, additional, and Cancrini, Caterina, additional
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- 2008
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57. Detection of IgM antibodies to human herpesvirus 6 in Romanian children with nonprogressive human immunodeficiency virus disease
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NIGRO, GIOVANNI, primary, LUZI, GIUSEPPE, additional, KRZYSZTOFIAK, ANDRZEJ, additional, DʼORIO, FRANCESCO, additional, and AIUTI, FERNANDO, additional
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- 1995
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58. Cytomegalovirus-associated stage 4S neuroblastoma relapsed stage 4
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Nigro, Giovanni, primary, Schiavetti, Amalia, additional, Booth, James C., additional, Clerico, Anna, additional, Dominici, Carlo, additional, Krzysztofiak, Andrzej, additional, and Castello, Manuel, additional
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- 1995
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59. Reply to: Ganciclovir therapy for cytomegalovirus infection in infants
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Nigro, Giovanni, primary, Krzysztofiak, Andrzej, additional, Torre, Andrea, additional, and D'Orio, Francesco, additional
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- 1994
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60. Practical Issues in Early Switching from Intravenous to Oral Antibiotic Therapy in Children with Uncomplicated Acute Hematogenous Osteomyelitis: Results from an Italian Survey.
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Chiappini, Elena, Serrano, Elena, Galli, Luisa, Villani, Alberto, and Krzysztofiak, Andrzej
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- 2019
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61. 72nd Congress of the Italian Society of Pediatrics
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Braghero, Marco, Staiano, Annamaria, Biasin, Eleonora, Matarazzo, Patrizia, Einaudi, Silvia, Manicone, Rosaria, Felicetti, Francesco, Brignardello, Enrico, Fagioli, Franca, Bignamini, Elisabetta, Nave, Elena, Callea, F., Concato, C., Fiscarelli, E., Garrone, S., de Gasperis, M.Rossi, Calzi, Patrizia, Marinelli, Grazia, Besana, Roberto, Caffarelli, Carlo, Di Peri, Antonio, Lapetina, Irene, Cincinnati, Patrizia, Da Riol, Rosalia Maria, De Curtis, Mario, Dito, Lucia, Protano, Chiara, Esposito, Susanna, Ferrara, Dante, Galiano, Rossella, Novellino, Pasquale, Kossoff, Eric Heath, Krzysztofiak, Andrzej, Bozzola, Elena, Lancella, Laura, Marchesi, Alessandra, Villani, Alberto, Lago, Paola, Garetti, Elisabetta, Pirelli, Anna, Marchisio, Paola, Santagati, Maria, Stefani, Stefania, Principi, Nicola, d’Apolito, Valeria, Memo, Luigi, Selicorni, Angelo, Miniello, Vito Leonardo, Diaferio, Lucia, Palmieri, Antonella, Parola, Luciana, Piro, Ettore, Romano, Claudio, Catena, Maria Ausilia, Cardile, Sabrina, Sacco, Oliviero, Girosi, Donata, Olcese, Roberta, Tosca, Mariangela, Rossi, Giovanni Arturo, Salerno, Sergio, Terranova, Maria Chiara, Santamaria, Francesca, Mancano, Giorgia, Maitz, Silvia, Stallings, Virginia A., Berlolaso, Chiara, McAnlis, Carolyn, Schall, Joan I., Striano, Pasquale, Tanas, Rita, De Iaco, Giulia, Marsella, Maria, Caggese, Guido, Toma, Paolo, Valentini, Piero, Buonsenso, Danilo, Pata, David, Ceccarelli, Manuela, Verduci, Elvira, Brambilla, Marta, Mariani, Benedetta, Lassandro, Carlotta, Dionigi, Alice Re, Vizzuso, Sara, Banderali, Giuseppe, Panzarino, Gianvito, Di Paolantonio, Claudia, Verrotti, Alberto, Cursi, Laura, Grandin, Annalisa, Virdis, Raffaele, Carletti, Patrizia, Weber, Giovanna, Caiulo, Silvana, and Vigone, Maria Cristina
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Meeting Abstracts - Full Text
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62. Haematological complications in otherwise healthy children hospitalized for varicella
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Quondamcarlo Anna, Lancella Laura, Bozzola Elena, Krzysztofiak Andrzej, Tozzi Alberto, and Pandolfi Elisabetta
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Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,Disease ,Varicella vaccination ,Antibodies, Viral ,Childhood immunization ,Chickenpox ,Humans ,Medicine ,Child ,Paediatric patients ,General Veterinary ,General Immunology and Microbiology ,business.industry ,Infant, Newborn ,Public Health, Environmental and Occupational Health ,Infant ,virus diseases ,Childhood disease ,Chickenpox complications ,Hematologic Diseases ,Infectious Diseases ,Italy ,Infectious disease (medical specialty) ,Child, Preschool ,Molecular Medicine ,Female ,Nervous System Diseases ,business ,Child, Hospitalized ,Haematological disorders - Abstract
Although varicella is commonly regarded as a mild childhood disease, complications may occur and frequently require hospitalization. The aim of this study was to establish the type and frequency of varicella complications among hospitalized paediatric patients over a 4.5-year period. This analysis included the medical charts of 306 patients admitted to the Infectious Disease Unit, Children Hospital Bambino Gesù, Roma, Italy from 2006 to 2010 for varicella disease. The most common complications were haematological disorders (41.5%) followed by neurological ones (23.5%). Varicella vaccination in childhood immunization program must be increased.
63. Measles Outbreak in a High-Income Country: Are Pediatricians Ready?
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Andrea, Lo Vecchio, Carlotta, Montagnani, Andrzej, Krzysztofiak, Piero, Valentini, Nadia, Rossi, Elena, Bozzola, Guido, Castelli Gattinara, Fabio, Magurano, Alfredo, Guarino, Luisa, Galli, Melissa, Baggieri, Lo Vecchio, Andrea, Montagnani, Carlotta, Krzysztofiak, Andrzej, Valentini, Piero, Rossi, Nadia, Bozzola, Elena, Castelli Gattinara, Guido, Magurano, Fabio, Guarino, Alfredo, and Galli, Luisa
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Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,diagnosis ,viral infections ,Measles Vaccine ,Measles ,epidemics ,epidemic ,Disease Outbreaks ,Serology ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Humans ,Medicine ,measle ,030212 general & internal medicine ,Diagnostic Errors ,Child ,book ,Retrospective Studies ,business.industry ,Infant ,Outbreak ,General Medicine ,Odds ratio ,Length of Stay ,medicine.disease ,Confidence interval ,diagnosi ,Infectious Diseases ,Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA ,Italy ,Child, Preschool ,Clinical diagnosis ,Pediatrics, Perinatology and Child Health ,Hospital admission ,Pediatric Infectious Disease ,book.journal ,Female ,business ,Child, Hospitalized - Abstract
BackgroundMeasles is a highly communicable infection with potentially severe complications. It is rarely reported in high-income countries and the limited awareness and experience of pediatricians may result in misdiagnosis. The present study aimed at investigating physician’s ability and timing to reach diagnosis during a recent outbreak in Italy.MethodsThe Italian Society for Pediatric Infectious Diseases conducted a retrospective, multicenter study in children hospitalized for measles between 1 January 2016 and 30 August 2017 in secondary and tertiary care hospitals. The appropriateness of diagnosis at admission, the time to reach clinical diagnosis, and serological confirmation of measles were recorded.ResultsAt hospital admission, measles was misdiagnosed in 101 (40.5%) of the 249 children (median age, 14.5 months) enrolled. The appropriate diagnosis increased from 30% to 72.5% during the period of observation (P < .001). A greater chance of receiving an appropriate diagnosis was demonstrated in children who reported a contact with measles (odds ratio [OR], 5.2; 95% confidence interval [CI], 3.0–9.2) or in those seen in institutions that managed more cases (OR, 7.39; 95% CI, 3.22–16.9; P = .0001). In contrast, children with underlying chronic conditions had a higher risk of misdiagnosis (appropriate diagnosis OR, 0.19; 95% CI, 0.10–0.33). The mean time from the onset of symptoms to clinical diagnosis was 4.55 ± 2.2 days and to serological confirmation was 7.0 ± 3.4 days.ConclusionsMeasles is frequently misdiagnosed in low-prevalence settings. Specific measures to increase pediatricians’ awareness about vaccine-preventable infections need to be implemented.
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- 2020
64. Complications and risk factors for severe outcome in children with measles
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Lo Vecchio, A, Krzysztofiak, A, Montagnani, C, Valentini, Piero, Rossi, N, Garazzino, S, Raffaldi, I, Di Gangi, M, Esposito, S, Vecchi, B, Melzi, Ml, Lanari, M, Zavarise, G, Bosis, S, Valenzise, M, Cazzato, S, Sacco, Monica, Govoni, Mr, Mozzo, E, Cambriglia, Md, Bruzzese, E, Di Camillo, C, Pata, Davide, Graziosi, A, Sala, D, Magurano, F, Villani, A, Guarino, A, Galli, L, SITIP Measles Study, Group., Lo Vecchio, A, Krzysztofiak, A, Montagnani, C, Valentini, P, Rossi, N, Garazzino, S, Raffaldi, I, Di Gangi, M, Esposito, S, Vecchi, B, Melzi, Ml, Lanari, M, Zavarise, G, Bosis, S, Valenzise, M, Cazzato, S, Sacco, M, Govoni, Mr, Mozzo, E, Cambriglia, Md, Bruzzese, E, Di Camillo, C, Pata, D, Graziosi, A, Sala, D, Magurano, F, Villani, A, Guarino, A, Galli, L, Lo Vecchio, Andrea, Krzysztofiak, Andrzej, Montagnani, Carlotta, Valentini, Piero, Rossi, Nadia, Garazzino, Silvia, Raffaldi, Irene, Di Gangi, Maria, Esposito, Susanna, Vecchi, Barbara, Melzi, Maria Luisa, Lanari, Marcello, Zavarise, Giorgio, Bosis, Samantha, Valenzise, Mariella, Cazzato, Salvatore, Sacco, Michele, Govoni, Maria Rita, Mozzo, Elena, Cambriglia, Maria Donata, Bruzzese, Eugenia, Di Camillo, Chiara, Pata, Davide, Graziosi, Alessandro, Sala, Debora, Magurano, Fabio, Villani, Alberto, Guarino, Alfredo, and Galli, Luisa
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Male ,Pediatrics ,medicine.medical_specialty ,Neutropenia ,genotype ,severe outcome ,complication ,Intensive Care Units, Pediatric ,Measles ,Severity of Illness Index ,children ,measles ,Risk Factors ,Intensive care ,medicine ,measle ,Humans ,Viral ,Encephalitis, Viral ,Preschool ,Child ,Pediatric ,biology ,Receiver operating characteristic ,business.industry ,C-reactive protein ,Child, Preschool ,Female ,Infant ,Italy ,Measles virus ,Pancreatitis ,ROC Curve ,Retrospective cohort study ,medicine.disease ,Settore MED/38 ,Intensive Care Units ,Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA ,Pediatrics, Perinatology and Child Health ,biology.protein ,Encephalitis ,Complication ,business - Abstract
Objective and designRisk factors for severe measles are poorly investigated in high-income countries. The Italian Society for Paediatric Infectious Diseases conducted a retrospective study in children hospitalised for measles from January 2016 to August 2017 to investigate the risk factors for severe outcome defined by the presence of long-lasting sequelae, need of intensive care or death.ResultsNineteen hospitals enrolled 249 children (median age 14.5 months): 207 (83%) children developed a complication and 3 (1%) died. Neutropaenia was more commonly reported in children with B3-genotype compared with other genotypes (29.5% vs 7.7%, p=0.01). Pancreatitis (adjusted OR [aOR] 9.19, p=0.01) and encephalitis (aOR 7.02, p=0.04) were related to severe outcome in multivariable analysis, as well as C reactive protein (CRP) (aOR 1.1, p=0.028), the increase of which predicted severe outcome (area under the receiver operating characteristic curve 0.67, 95% CI 0.52 to 0.82). CRP values >2 mg/dL were related to higher risk of complications (OR 2.0, 95% CI 1.15 to 3.7, p=0.01) or severe outcome (OR 4.13, 95% CI 1.43 to 11.8, pConclusionThe risk of severe outcome in measles is independent of age and underlying conditions, but is related to the development of organ complications and may be predicted by CRP value.
- Published
- 2018
65. The Intraperitoneal Use of Cephazolin: A Novelty in the Prevention of Intra-abdominal Abscess after Laparoscopic Appendectomy in Children.
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Frediani S, Aloi IP, Krzysztofiak A, D'Angelo T, Bertocchini A, Madafferi S, Accinni A, Pardi V, and Inserra A
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- Humans, Child, Retrospective Studies, Male, Female, Child, Preschool, Adolescent, Cefazolin administration & dosage, Cefazolin therapeutic use, Peritoneal Lavage methods, Appendectomy adverse effects, Laparoscopy, Abdominal Abscess prevention & control, Abdominal Abscess etiology, Appendicitis surgery, Postoperative Complications prevention & control, Anti-Bacterial Agents administration & dosage, Anti-Bacterial Agents therapeutic use
- Abstract
Background: Laparoscopic appendectomy followed by postoperative intravenous (IV) antibiotics is the standard of care for acute appendicitis and postoperative prevention of intra-abdominal abscesses. The aim of or study was to determine if intraperitoneal irrigation with antibiotics could help prevent intra-abdominal abscess formation after laparoscopic appendectomy for complicated appendicitis in pediatric patients., Methods: A retrospective study was conducted on consecutive pediatric patients with acute appendicitis who had appendectomy in our Pediatric Surgery Department between August 2020 and February 2022. We compared two groups with similar age and symptoms. The first group (A) was treated with the normal standard of care, i.e., laparoscopic appendectomy and postoperative IV antibiotic therapy. For the second group (B) intraperitoneal cefazoline irrigation was added at the end of the laparoscopic procedure. Postoperative intra-abdominal abscess was diagnosed with ultrasound examination, performed after clinical suspicion/abnormal blood test results., Results: One hundred sixty patients (males:females 109:51; median age 10.5 years [range 3-17 years]) who had laparosopic appendectomy for complicated appendicitis were included, 82 in group A and 78 in group B. In the first 7 days after surgery, 18 patients in group and 5 in group B developed an intra-abdominal abscess (p < 0.005). Drains were positioned in 38 patients in group A vs. 9 in group B. One patient in group A had a different complication which was infection of the surgical incision., Conclusions: Intraperitoneal cefazoline irrigation at the end of the laparoscopic appendectomy in pediatric patients significantly reduces the formation of intra-abdominal abscesses.
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- 2024
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66. Epidemiology, Clinical Features and Prognostic Factors of Pediatric SARS-CoV-2 Infection: Results From an Italian Multicenter Study.
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Garazzino S, Lo Vecchio A, Pierantoni L, Calò Carducci FI, Marchetti F, Meini A, Castagnola E, Vergine G, Donà D, Bosis S, Dodi I, Venturini E, Felici E, Giacchero R, Denina M, Pierri L, Nicolini G, Montagnani C, Krzysztofiak A, Bianchini S, Marabotto C, Tovo PA, Pruccoli G, Lanari M, Villani A, and Castelli Gattinara G
- Abstract
Background: Many aspects of SARS-CoV-2 infection in children and adolescents remain unclear and optimal treatment is debated. The objective of our study was to investigate epidemiological, clinical and therapeutic characteristics of pediatric SARS-CoV-2 infection, focusing on risk factors for complicated and critical disease. Methods: The present multicenter Italian study was promoted by the Italian Society of Pediatric Infectious Diseases, involving both pediatric hospitals and general pediatricians/family doctors. All subjects under 18 years of age with documented SARS-CoV-2 infection and referred to the coordinating center were enrolled from March 2020. Results: As of 15 September 2020, 759 children were enrolled (median age 7.2 years, IQR 1.4; 12.4). Among the 688 symptomatic children, fever was the most common symptom (81.9%). Barely 47% of children were hospitalized for COVID-19. Age was inversely related to hospital admission ( p < 0.01) and linearly to length of stay ( p = 0.014). One hundred forty-nine children (19.6%) developed complications. Comorbidities were risk factors for complications ( p < 0.001). Viral coinfections, underlying clinical conditions, age 5-9 years and lymphopenia were statistically related to ICU admission ( p < 0.05). Conclusions: Complications of COVID-19 in children are related to comorbidities and increase with age. Viral co-infections are additional risk factors for disease progression and multisystem inflammatory syndrome temporarily related to COVID-19 (MIS-C) for ICU admission., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Garazzino, Lo Vecchio, Pierantoni, Calò Carducci, Marchetti, Meini, Castagnola, Vergine, Donà, Bosis, Dodi, Venturini, Felici, Giacchero, Denina, Pierri, Nicolini, Montagnani, Krzysztofiak, Bianchini, Marabotto, Tovo, Pruccoli, Lanari, Villani, Castelli Gattinara and the Italian SITIP-SIP Pediatric Infection Study Group.)
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- 2021
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67. Multicentre Italian study of SARS-CoV-2 infection in children and adolescents, preliminary data as at 10 April 2020.
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Garazzino S, Montagnani C, Donà D, Meini A, Felici E, Vergine G, Bernardi S, Giacchero R, Lo Vecchio A, Marchisio P, Nicolini G, Pierantoni L, Rabbone I, Banderali G, Denina M, Venturini E, Krzysztofiak A, Badolato R, Bianchini S, Galli L, Villani A, and Castelli-Gattinara G
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- Adolescent, Antiviral Agents therapeutic use, Betacoronavirus, COVID-19, COVID-19 Testing, Child, Child, Preschool, Clinical Laboratory Techniques, Coinfection virology, Comorbidity, Coronavirus Infections epidemiology, Coronavirus Infections therapy, Diarrhea etiology, Disease Outbreaks, Feces virology, Female, Fever etiology, Hospitals, Pediatric, Humans, Immunocompromised Host, Infant, Infant, Newborn, Italy epidemiology, Male, Noninvasive Ventilation methods, Pneumonia, Viral epidemiology, Pneumonia, Viral therapy, Protease Inhibitors therapeutic use, Retrospective Studies, SARS-CoV-2, Severe Acute Respiratory Syndrome diagnosis, Severe Acute Respiratory Syndrome epidemiology, Severe Acute Respiratory Syndrome therapy, Treatment Outcome, Chronic Disease epidemiology, Coinfection epidemiology, Coronavirus isolation & purification, Coronavirus Infections diagnosis, Pandemics prevention & control, Pneumonia, Viral diagnosis
- Abstract
Data on features of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in children and adolescents are scarce. We report preliminary results of an Italian multicentre study comprising 168 laboratory-confirmed paediatric cases (median: 2.3 years, range: 1 day-17.7 years, 55.9% males), of which 67.9% were hospitalised and 19.6% had comorbidities. Fever was the most common symptom, gastrointestinal manifestations were frequent; two children required intensive care, five had seizures, 49 received experimental treatments and all recovered.
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- 2020
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68. [Vaccination in childhood: how to protect the "unprotectable"?]
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Villani A, Bozzola E, Vittucci AC, Di Camillo C, Lancella L, Krzysztofiak A, Nicolosi L, and Russo R
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- Child, Contraindications, Drug, Humans, Chickenpox prevention & control, Chickenpox Vaccine, Measles prevention & control, Measles Vaccine, Pertussis Vaccine, Vaccination, Whooping Cough prevention & control
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The failure of immunization coverage is the primary reason for the transmission and the spread of the diseases in young infants not eligible for vaccination because of age and in immunocompromised individuals. In both these categories measles, pertussis and varicella could be devastating. Pertussis, measles and varicella in the first year of life are responsible to the ED admission, the hospitalization and, exceptionally, the death. The only way to protect very young infants and immunocompromised individuals is to obtain the adequate coverage in all the population.
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- 2017
69. Linezolid therapy in a perinatal late-onset Staphylococcus aureus sepsis complicated by spondylodiscitis and endophthalmitis.
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Krzysztofiak A, Bozzola E, Lancella L, Boccuzzi E, Vittucci AC, Marchesi A, and Villani A
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- Abscess microbiology, Bacteremia complications, Bacteremia microbiology, Discitis microbiology, Endophthalmitis microbiology, Eye Enucleation, Female, Humans, Infant, Pleural Effusion drug therapy, Pneumonia, Bacterial drug therapy, Recurrence, Retinoblastoma complications, Retinoblastoma surgery, Risk Factors, Staphylococcal Infections complications, Treatment Outcome, Abscess drug therapy, Anti-Bacterial Agents therapeutic use, Bacteremia drug therapy, Discitis drug therapy, Endophthalmitis drug therapy, Linezolid therapeutic use, Staphylococcal Infections drug therapy, Staphylococcus aureus isolation & purification
- Abstract
We report the case of a two-month-old immunocompetent girl affected by Staphylococcus aureus sepsis complicated with pneumonia and pleural effusion, spondylodiscitis and endophthalmitis treated with linezolid. She developed a S. aureus sepsis in the neonatal period antibiotically treated with clinical resolution. Ten days after therapy discontinuation, the infant experienced a new S. aureus sepsis complicated by pneumonia with pleural effusion. Due to the presence of dorsal swelling, a pulmonary computer tomography was performed that showed a dorsal D5-D6 spondylodiscitis. Since the sepsis was scarcely responsive to several appropriate antibiotics, we finally decided to treat the patient with linezolid. A few weeks after changing antibiotics, the child underwent an ophthalmologic visit. Due to the finding of ocular lesions, imaging examinations were performed. The diagnosis was compatible with retinoblastoma, such that the eye was enucleated. Nevertheless, histological and microbiological investigations did not confirm the tumour hypothesis, but revealed a S. aureus abscess with retinal detachment. The child completed antibiotic therapy with linezolid and was visited periodically at the Infectious Disease Unit for a follow-up. She underwent progressive resolution of discitis and did not present any further flare of sepsis. Nevertheless, she still has a replacement device in her right eye and a D5-D6 severe kyphosis with spinal fusion.
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- 2015
70. Neurological impairment and arthritis in an immunocompetent child with human parvovirus B19 chronic infection.
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Bozzola E, Krzysztofiak A, and Cortis E
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- Arthritis, Infectious therapy, Child, Chronic Disease, Erythema Infectiosum complications, Headache etiology, Humans, Immunocompetence, Immunoglobulins, Intravenous therapeutic use, Male, Parvoviridae Infections immunology, Parvoviridae Infections therapy, Parvoviridae Infections virology, Polyradiculoneuropathy therapy, Polyradiculoneuropathy virology, Reflex, Abnormal, Viremia etiology, Viremia immunology, Ankle Joint virology, Arthritis, Infectious etiology, Parvoviridae Infections complications, Parvovirus B19, Human isolation & purification, Polyradiculoneuropathy etiology
- Abstract
Human parvovirus B19 (HPV-B19) is usually a self-limiting infection in immunocompetent children. In this case report, instead, we describe an immunocompotent child with evidence of persistent HPV-B19 infection, arthritis and neurological impairment. He was first admitted to hospital for HPV-B19 infection and sent home in good clinical condition after anti-inflammatory therapy. Eight months later he was re-admitted to hospital for episodes of arthritis and weakness, myalgia, tremors in his legs and hands, and was unable to walk unaided. In both plasma and serum, HPV-B19 DNA, detected by polymerase chain reaction, was still present. For neurological symptoms, he underwent magnetic resonance, which showed increased signal intensity at the spinal roots in the lumbar region, compatible with polyradiculoneuritis. After immunoglobulin therapy he had an excellent response in clinical and radiological terms, suggesting an association between neurological impairment and HPV-B19 infection. Eleven months after the second admission, the patient was still in good clinical condition.
- Published
- 2010
71. [Mediastinal tubercular lymphadenitis and adenobronchial fistulas (TABF) in the paediatric age. 1980-2001 case record].
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Lancella L, Nicolosi L, Bottero S, Carnevale E, Krzysztofiak A, and Ticca F
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- Antitubercular Agents therapeutic use, Bronchial Fistula diagnosis, Bronchial Fistula epidemiology, Bronchial Fistula therapy, Bronchoscopy, Child, Child, Preschool, Combined Modality Therapy, Female, Fistula diagnosis, Fistula epidemiology, Fistula therapy, Humans, Infant, Italy epidemiology, Male, Mediastinal Diseases diagnosis, Mediastinal Diseases epidemiology, Mediastinal Diseases therapy, Retrospective Studies, Rome epidemiology, Tuberculosis, Lymph Node diagnosis, Tuberculosis, Lymph Node epidemiology, Tuberculosis, Lymph Node therapy, Bronchial Fistula etiology, Fistula etiology, Mediastinal Diseases complications, Tuberculosis, Lymph Node complications
- Abstract
The aim of this study is to assess the frequency and clinical importance of mediastinal tubercular lymphadenitis and adenobronchial fistulas (TABF) and to evaluate the role of fiberbronchoscopy and surgical bronchoscopy associated with antimicrobical chemotherapy. 136 cases of primary pulmonary TBC, admitted to the Unit of Infectious Diseases, Bambino Gesu Children Hospital in Rome, between 1980 and 2001, were enrolled in the study. We considered 56 patients with clinical and radiological evidence of mediastinal tubercular lymphadenitis and 28 patients with adenobronchial fistulas (TABF). The incidence of TABF was 20,58% of primary pulmonary TBC. All patients were treated by medical therapy combined with local endobronchial surgery. TABF emerges as a complication of pediatric primary pulmonary TBC. We suggest a clinical and radiological survey to decide the utility of a diagnostic and therapeutic surgical bronchoscopy
- Published
- 2003
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