Browsing by Author "Uemichi, Kazuyasu"
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Publication A Novel Strategy for Umbilical Granuloma Removal: Cutting off with a Nylon Suture Thread(Nepal Paediatric Society (JNPS), 2022) Taniguchi, Kazuto; Mizuta, Kazutaka; Uemichi, KazuyasuAbstract: Umbilical granuloma is a common umbilical problem in infants. Although various modalities are available for the treatment of umbilical granulomas, the best method remains controversial. A 7-week-old infant presented with umbilical granuloma followed by omphalitis. We treated the omphalitis first to prevent local inflammation. On the following day, the umbilical granuloma was successfully cut off with a nylon suture thread. No residue of the granuloma was left behind and no signs of local inflammation appeared. Umbilical granuloma can be successfully removed with a nylon suture thread. Treatment for omphalitis before granuloma removal may be useful to prevent local inflammation.Publication Back Pain in Atypical Immediate Hypersensitivity Caused by Exposure to Dust Mites and Molds: A Case Report(Nepal Paediatric Society (JNPS), 2022) Taniguchi, Kazuto; Mizuta, Kazutaka; Uemichi, KazuyasuAbstract: Immediate hypersensitivity to inhaled allergens is common in children. Although wheezing and urticaria are well known in immediate hypersensitivity, back pain is unknown. A nine year old boy with a history of asthma presented with back pain, but not wheezing or urticaria, while wiping the floor. The immuno-capsulated hydrophilic carrier polymer (ImmunoCAP) test revealed that dust mites and molds were the specific antigens causing the immediate hypersensitivity. Therefore, back pain can appear in immediate hypersensitivity. The ImmunoCAP test is useful for determining the allergens in atypical immediate hypersensitivity. Risk factors can be hidden in daily cleaning.Publication Duodenal Stenosis Caused by Helicobacter Pylori: Mimicker of Chronic Constipation(Nepal Paediatric Society (JNPS), 2017) Taniguchi, Kazuto; Nakashima, Takema; Ichiyama, Yasunobu; Yamamoto, Hirokazu; Uemichi, KazuyasuAbstract: Although the most common causes of childhood chronic constipation are functional, a minority have an organic cause. We report an 11-year-old girl who was diagnosed as chronic constipation, but actually suffered from duodenal stenosis caused by Helicobacter pylori. An enhanced computed tomography was useful for investigation. Duodenal stenosis should be listed as a differential diagnosis for childhood chronic constipation.Publication Microbial Resistance Caused by Antibiotic Prophylaxis with Amoxicillin in a Male Infant with Vesicoureteral Reflux(Nepal Paediatric Society (JNPS), 2018) Taniguchi, Kazuto; Kii, Sakumo; Oka, Masafumi; Uemichi, KazuyasuAbstract: Vesicoureteral reflux is a common condition in infants with urinary tract infection. Although antibiotic prophylaxis to prevent recurrent urinary tract infection is widely performed, its effectiveness remains controversial. Herein we report a seven- month-old boy with vesicoureteral reflux. Antibiotic prophylaxis with amoxicillin caused microbial resistance accompanied by recurrent urinary tract infection. Subsequent antibiotic prophylaxis with sulfamethoxazole-trimethoprim was effective until spontaneous remission of vesicoureteral reflux occurred. Sulfamethoxazole-trimethoprim, but not amoxicillin, should be considered as an agent for antibiotic prophylaxis in infants with vesicoureteral reflux.Publication Reddish Diarrhoea Caused by Excessive Ingestion of Watermelon: Mimicker of Bacterial Colitis(Nepal Paediatric Society (JNPS), 2021) Taniguchi, Kazuto; Nonaka, Toshihiro; Uemichi, KazuyasuAbstract: Bloody diarrhoea in children is indicative of serious diseases. Although bloody diarrhoea following bacterial colitis is well known, reddish diarrhoea caused by excessive ingestion of watermelon is unknown. A two year old girl who excessively ingested watermelon presented with repeated reddish diarrhoea. A kit for fecal occult blood testing revealed that the reddish diarrhoea did not contain blood. Reddish diarrhoea caused by excessive ingestion of watermelon can be a mimicker of bacterial colitis. The kit for fecal occult blood testing was useful for differential diagnosis. We should be aware that this pitfall can be hidden in daily nutrition.Publication Tonsillectomy as Treatment for Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis Syndrome(Nepal Paediatric Society (JNPS), 2017) Taniguchi, Kazuto; Sakai, Tatsuya; Ichiyama, Yasunobu; Yamamoto, Hirokazu; Uemichi, KazuyasuAbstract: Although the etiology of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome remain unclear, various treatments have been reported. We here describe two thought-provoking cases. Our experience suggests that tonsillectomy is effective against PFAPA syndrome, and can safely be performed in patients three years and older. We recommend that tonsillectomy be considered as early as possible in patients with PFAPA syndrome.