Tracheal foreign body misdiagnosed as acute bronchial asthma in a toddler child

Foreign body aspiration (FBA) is one of the common causes of significant morbidity and mortality in a toddler child. Airway foreign bodies might be presented as a spectrum, ranging from the acute onset of choking, cyanosis, and respiratory distress to delayed onset of mild respiratory distress, wheezing, persistent cough, and fever. Here, we report a case of peanut aspiration in a toddler child, who was initially being treated as acute bronchial asthma, and the diagnosis was subsequently confirmed on computed tomography (CT) chest as a case of tracheal FBA. A foreign body was successfully retrieved by rigid bronchoscopy under general anesthesia and was a peanut by morphology. The possibility of FBA should be considered in any toddler child, who presents for the first time with acute bronchial asthma-like symptoms; wheezing, coughing, or respiratory distress. In a resource-limited setting, low-dose CT chest can be an early noninvasive diagnostic tool to detect all airway foreign bodies

Incidence, Risk Factors, and Outcomes of Acute Kidney Injury in Preterm Neonates Hospitalized in the Neonatology Unit, North India: A Single-center Experience

Acute kidney injury (AKI) is common in premature newborns and is associated with high mortality. It is unclear which risk factors lead to AKI in these neonates. We aimed to determine the incidence, risk factors, and outcomes of AKI in preterm neonates in the neonatal intensive care unit (NICU). They were screened and staged for AKI as per the amended neonatal criteria of Kidney Disease Improving Global Outcomes and followed up until discharge or death. Serum creatinine levels and urine output were measured. The incidence of AKI was 18.5% (37/200 neonates). The majority developed non-oliguric AKI. The risk factors significantly associated with AKI in neonates were the presence of sepsis, birth asphyxia, shock, respiratory distress syndrome, and hypothermia. The majority of neonates with AKI had a birthweight <1500 g and a gestational age of <32 weeks and had a higher risk of mortality, in contrast to than those without AKI. Mortality and NICU stay were significantly higher among those with Stage 3 AKI compared with Stage 2 and Stage 1 AKI. To prevent AKI and reduce the burden of high mortality in premature neonates, it is essential to prevent sepsis, birth asphyxia, and respiratory distress syndrome, as well as to detect shock and patent ductus arteriosus as early as possible. There is a need for good antenatal care to reduce the burden of prematurity