[Clinical assessment of occult infections in children]. / Klinicko prosudivanje okultnih infekcija kod djece.

Children's occult infections are characterised presenting pathogenic bacteries in blood of children in age 3 to 36 months, but they are good general aspect and orderly immunologic status and they don't have signs of focal infection. Manifestation of occult infections determined: age of child, increasing bodies temperature, testsphysical observance and clinical-biochemistry tests. Prevalence of manifestation occult infections is 3-8%, but they manifest ni a form occult bacteremia, occult pneumonia nad occult urinary infection. Methodic, systematic admission and adequate clinical-biochemical monitoring, we minimise sequeles of occult infections. Risk of serious sequeles at occult infections is importantly decreasing by epidemiological changes that it rises by using vaccination against Haemophilus influenzae and Streptococcus pneumoniae is leading ethiological source. Many contraversal opinions are presented in glance of therapeutic strategy at children's occult infection. Future of solutions at many hesitations ni context diagnosis and therapy of occult infections is established in using recent detectional tests /pneumococcus PCR, plasmas tumor reaction, interleukin lâ/ and preventive intervetions activities /conjugated pneumococcus vaccination/.

[Surgical treatment of an anomaly of the conduction system in a case of supraventricular paroxysmal tachycardia with WPW syndrome resistant to four conventional antiarrhythmic agents]. / Hirurski tretman anomalnog provodnog sistema u slucaju supraventrikularne paroksizmalne tahikardije sa WPW sindromom rezistentne na 4 konvencionalna antiaritmika.

The authors have presented girl with supraventricular paroxismal tachyarrthymia and atipic WPW syndrome. The most frequently disrhythmias in childhood and at infants. Laboratories and others specific research are normal. SPT was proved with ECG. The Attacks SPT in girl are precipited usually nervous, fear, premenstruation phase or acute infection as in last hospitalization. In despite of many years medicament treatment attacks are repeated. The authors are presented diagnostics difficulties and advantages surgical intervention-ablation of A-V accesorius node (success 95%), after electrofiziologic investigations.

[Acute myeloblastic leukemia and adenocarcinoma of the rectum as secondary malignancies after treatment of rhabdomyosarcoma]. / Akutna mijeloblastna leukemija i adenokarcinom rektuma kao sekundarni malignomi poslije tretmana rhabdomyosarcoma.

It is shown very rare case of eight years old girl with two secondary sicknesses: myeloic leucosis and adenocarcinoma of rectum that developed after six years of successful treatment. The diagnose of embryonal Rhabdomyosarcoma was set up in Sarajevo six years ago after surgical extirpation of tumor from orbitae and its pathohistology finding. Complete chemo and radiotherapy was performed in Germany (Bonn) according protocol (CWS 91). Diagnoses of acute myeloic leucosis and adenocarcinoma of rectum was set up according: clinical picture, peripheral blood smear, bone marrow smear and biopsy of bleeding polyp of rectum.

[Reiter's disease in an 11-year-old boy]. / Reiterova bolest kod jedanaestogodisnjeg djecaka.

The case of Reiter's disease with eleven years old boy was reported in this paper. Thanks to anamenstic's data, clinical examination, laboratory findings and radiological evaluation we have established the diagnosis mentioned above. Joint's symptoms and signs prevail in clinical picture, and there are eye's disturbances and urinary symptoms. The patient was treated by antibiotics, uroantiseptics, steroids and non-steroids therapy too. Also, adequately phisiatric's treatment had a good influence to the course of this disease.

[Hypertrophic idiopathic subaortic stenosis]. / Hipertroficna idiopatska subaortalna stenoza.

In 1990 at the Pediatric Clinic in Sarajevo, based upon physical examination EKG, RTG and complete ECHO examinations, HISS was diagnosed with a five years-old boy. The diagnosis: Stenosis aorte valvularis gr. majoris, Aorta bivelaris, and Stenosis r. sinistri ar. pulmonalis have been confirmed by the invasive method. The surgical intervention was proposed. Due to war circumstances surgery operation was done in Cambridge, in 1993. The child is well now.

[Epidemiology of childhood leukoses at the Pediatric Clinic in Sarajevo over the past 2 years]. / Epidemiologija djecijih leukoza na Pedijatrijskoj klinici u Sarajevu u posljednje dvije godine.

In retrospective study we analyzed 19 patients who were diagnosed and cured because of leukemia at Pediatric clinic in Sarajevo during last two years. From that number, 15 children (78.9%) were with acute lymphoblastic leukemia (ALL), 3 (15.7%) were with acute myeloic leukemia (AML) and 1 was with chronic myeloic leukemia. Among all pediatric malignancies percent of leukemias was 40.4%. Most of children with leukemia from Canton of Zenica-Doboj (42.1%) and then from Canton of Sarajevo (31.5%). Illness began mostly in winter months (36.5%), than in early spring (26.3%), and in autumn (26.3%), but there were no newly diagnosed in summer (July and August). More children with leukemia were from rural areas (57.8%), than from urban areas (42.2%).

[Advantages and disadvantages in the use of central venous catheters in children with malignant diseases]. / Prednosti i nedostaci primjene centralnog venskog katetera kod djece oboljele od malignih oboljenja.

The authors report the problem of central venous catheter appliance to the children with malignant diseases, employed for the first time in Bosnia and Herzegovina with the aim of pediatric oncologic patients treatment. During 1997 central venous catheter type Hickman was used in nine children between two and half to eleven years old (average six years and one months). The average time of catheter placement was six months, in two cases catheter were eliminated after two and three months respectively since application (spontaneous elimination and repeated septic attacks, caused bu resistant bacterial strains). Gram-positive bacteria have been isolated with eight children (Staphylococcus aureus and Staphylococcus epidermidis), and gram-negative enterobacteriaceae (Serratia marcescens, Pseudomonas aeruginosa, Klebsiella oxytocia and pneumoniae, Escherichia coli, Salmonella group C and Enterococcus faecalis) in samples taken from the catheter and hemoculture. The central venous catheter is useful in treating oncological patients, but may cause serious consequences, like local infections or septicaemia.