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3 results on '"Davood Motaharizad"'

1. Hyperammonemic Induced Coma by Bacterial Overgrowth in a Child With Hirschsprung’s Disease

Author

Fatemeh Farahmand, Ahmad Khodadad, Gholamhosein Fallahi, Davood Motaharizad, and Javad Sabery Nejad

Subjects
Hirschsprung’s disease, Hyperammonemia, Lactulose therapy, Medicine (General), R5-920
Abstract

Cases with Hirschsprung’s disease show the functional intestinal obstruction. Obstruction in these patients may lead to bacterial overgrowth with stasis and inflammation of the colon. Bacterial overgrowth can cause hyperammonemia that makes lethargy and loss of conscious and finally admitting in ICU. The purpose of this case report is to present a case that had Hirschsprung’s disease and referred to Children’s Medical Center with serum hyper-ammonium caused by bacterial overgrowth that induced coma and altered level of consciousness then made her to admit to PICU. A 15-year-old female referred to Children’s Medical Center with lethargy and low grade diarrhea. She had hypocalcemia and hypoalbuminemia with high PT and INR. Because of loss of conscious, she admitted at PICU. Laboratory findings showed hyperammonemia in this case, but other criteria were normal. Administration of antibiotic and lactulose therapy was started that lead to a reduction in serum ammonium level and discharging of the case. Thirteen days later she referred again with mentioned symptoms, and clinical evaluations showed high serum ammonium level. This time because of loss of conscious she had to admit at PICU and used NG tube. Administration of lactulose syrup and sodium benzoate make her in a better condition. Narrowing rectum toward the sigmoid and highly enlarged intestinal lopes was on behalf of Hirschsprung’s disease. Finally, the patient with the acceptable situation and oral periodic metronidazole discharged. It is essential to check serum ammonium level in the cases with loss of conscious. The choice for controlling hyperammonemia is lactulose therapy.

Published
2016

2. Prevalence of Attention Deficit Hyperactivity Disorder in Pediatrics Patients Newly Diagnosed with Gastroesophageal Reflux Disease

Author

Mohammad Effatpanah, Farzaneh Motamed, Mehri Najafi, Fatemeh Farahmand, Gholamhosein Fallahi, Davood Motaharizad, Mir Saeed Yekaninejad, Mostafa Qorbani, and Jayran Zebardast

Subjects
gastroesophageal reflux disease, mental disorders, lcsh:RJ1-570, ADHD, lcsh:Pediatrics, Comorbidity, behavioral disciplines and activities, Children, digestive system diseases, humanities
Abstract

Background: Gastroesophageal reflux disease (GERD) is associated with a number of comorbidities in pediatrics. However, its association with attention deficit hyperactivity disorder (ADHD) has not been reported. The aim of the present study was to investigate the prevalence of ADHD in pediatric patients newly diagnosed with GERD. Materials and Methods: Sixty newly-diagnosed treatment naive GERD patients and sixty healthy controls aging between 5 to 12 years referring to the Children and Adolescent’s medical center, Tehran, Iran were recruited in a case-control study during the year 2015. Then patients were evaluated for ADHD by a psychiatrist according to the DSM-IV criteria. The revised Conners' Parent Rating Scale (CPRS-R) was used for assessment of the symptoms of ADHD. To screen for psychiatry disorders other than ADHD, the Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) questionnaire was used. Logistic regression analysis was used for modeling the association between GERD and ADHD in the study sample. Results: The mean age of GERD patients was 5.77±2.27 and for non-GERD controls was 6.03±2.52 (P= 0.543). Thirty-three out of 60 (55%) GERD patients and 37 out of 60(61.66%) non-GERD controls were male (P: 0.579). Prevalence of ADHD was 33.60 (55%) in GERD patients and 10.60 (16.66%) in non-GERD (P

Published
2017

3. Perforated Acute Appendicitis in a Pre-Term Neonate

Author

Mahdi Mohammadzadeh, Mohammad Jahangiri, Davood Motaharizad, Hoda Jazayeri, Mehrdad Hosseinpour, and Azadeh Sadat Mirzadeh

Subjects
medicine.medical_specialty, Neonatal intensive care unit, business.industry, Infant, Newborn, Peritonitis, General Medicine, Abdominal distension, medicine.disease, Appendicitis, Surgery, medicine.anatomical_structure, Acute abdomen, medicine, Abdomen, medicine.symptom, Differential diagnosis, business, Pelvis, Research Article
Abstract

Acute appendicitis is a common occurrence in childhood, but this diagnosis is considered rarely in differential diagnosis of acute abdomen in the neonatal period because its occurrence is very rare in neonates. We report a 20-day- old afghan female baby that was admitted to neonatal intensive care unit, because of irritability and abdominal distension. Complete ultrasound of abdomen and pelvis was normal. In plain Radiographs of chest and abdomen with the exception of Air-filled stomach and intestine, there was no abnormality. Due to the lack of improvement and severe abdominal distension, she was transmitted to the operating room and Surgical exploration revealed perforated appendix. Appendicitis should be considered in the differential diagnosis for a neonate with abdominal distension and bilious vomiting and needs strong clinical suspicion.

Published
2013

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