[Etiology of splenomegaly in children in the tropics. 178 cases reviewed at the university hospital center of Abidjan-Cocody (Ivory Coast)]. / Etiologie des splénomégalies de l'enfant en milieu tropical. A propos de 178 cas colligés au CHU d'Abidjan-Cocody (Côte d'Ivoire).
Ann Pediatr (Paris)
; 39(2): 136-41, 1992 Feb.
Article
en Fr
| MEDLINE
| ID: mdl-1316090
ABSTRACT
Discovery of an enlarged spleen in a child requires steps to identify the etiology. One hundred and seventy-eight patients seen over a four-year period (1985-1988) at the Cocody Teaching Hospital were reviewed. The incidence of splenic enlargement among pediatric inpatients was 1.6%. Males (n = 106) were more often affected than females (n = 72). Slightly over half the children (54.49%) were 0 to 5 years of age. The main clinical presenting features were fever (90%), anemia (72%), a decline in general health (36.50%), enlargement of the liver (33.50%), jaundice (26.50%), and enlarged lymph nodes (7%). Type II of Hackett's classification accounted for most cases (61.80%), followed by Type III (14%). Main etiologies included malaria (53%), salmonella infections (15%), sickle cell anemia (14%), schistosomiasis (9%), AIDS (3%), and thalassemia (2%). Malignancies (leukemia, lymphoma) were relatively infrequent. More than one etiology was found in 13 cases. The distribution of etiologies by age group was determined and a strategy for investigating children with splenic enlargement in tropical countries was developed.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esplenomegalia
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Child, preschool
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Female
/
Humans
/
Infant
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Male
/
Newborn
País/Región como asunto:
Africa
Idioma:
Fr
Revista:
Ann Pediatr (Paris)
Año:
1992
Tipo del documento:
Article