A nine month old child with retropharyngeal abscess secondary to mastoid abscess presenting as torticollis: a case report

We describe the unusual case of a 9-month-old Caucasian girl with a retropharyngeal abscess secondary to a mastoid abscess who presented with torticollis. The retropharyngeal abscess was caused by pus from the mastoid abscess tracking down under the petrous part of the temporal bone to reach the retropharyngeal space via the fossa of Rosenmüller. We believe that this is the first time that this route of infection has been reported. The patient was treated successfully with 7 days of intravenous ceftriaxone and flucloxacillin followed by oral co-amoxiclav for 7 days, followed by physiotherapy

A Case of Infantile Perianal Pyramidal Protrusion Masquerading As Imperforate Anus at Birth

Infantile perianal pyramidal protrusion (IPPP) is an uncommon and underreported benign cutaneous lesion characterized by a protrusion from the anal orifice. It is also believed to be often mistaken for other conditions. The unawareness of this lesion may be responsible for underreporting and an excessive concern both in providers and in parents. Timely diagnosis and reassurance need to be emphasized in the provider community. We report an interesting case of IPPP on the first day of life, which was erroneously diagnosed as imperforate anus at her delivery

Novel non-operative treatment of uterovaginal prolapse in a preterm neonate

Uterovaginal prolapse (UVP) is a rare condition that occurs in neonates. The case report presented here details an extremely rare, and potentially unique, occurrence of UVP in a premature infant whose prolapse was found to be secondary to an anatomical cause. The preterm newborn developed UVP three weeks after birth. Further investigation identified a bicornuate uterus and an ovarian mucus cyst that was likely secondary to the effect of maternal hormones upon the infant. A conservative and novel management method, using a feeding nipple/sterilized gauze soaked with petroleum jelly, and continuous monitoring, helped resolve the UVP. As a result of this case and our experience in diagnosing and treating UVP, we created a flowchart (included herein) for the diagnosis of UVP in newborns, including those who are premature

Umbilical Cord Milking Versus Delayed Cord Clamping in Infants 28 to 32 Weeks: A Randomized Trial.

OBJECTIVES: To determine whether rate of severe intraventricular hemorrhage (IVH) or death among preterm infants receiving placental transfusion with UCM is noninferior to delayed cord clamping (DCC). METHODS: Noninferiority randomized controlled trial comparing UCM versus DCC in preterm infants born 28 to 32 weeks recruited between June 2017 through September 2022 from 19 university and private medical centers in 4 countries. The primary outcome was Grade III/IV IVH or death evaluated at a 1% noninferiority margin. RESULTS: Among 1019 infants (UCM n = 511 and DCC n = 508), all completed the trial from birth through initial hospitalization (mean gestational age 31 weeks, 44% female). For the primary outcome, 7 of 511 (1.4%) infants randomized to UCM developed severe IVH or died compared to 7 of 508 (1.4%) infants randomized to DCC (rate difference 0.01%, 95% confidence interval: (-1.4% to 1.4%), P = .99). CONCLUSIONS: In this randomized controlled trial of UCM versus DCC among preterm infants born between 28 and 32 weeks\u27 gestation, there was no difference in the rates of severe IVH or death. UCM may be a safe alternative to DCC in premature infants born at 28 to 32 weeks who require resuscitation