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Giant hemangioma with thrombocytopenia: Radioisotopic demonstration of platelet sequestration
190
INTJZRNATIONAL
ABSTBACTS
OF PEDIATRIC
SURGERY
the face and the head, including the eyelids and the ear. In several steps parts of the hemangioma were excised and covered by
in 1826 as oplasia cutis congenita.-Robert J. leant, Jr.
skin grafts. The external carotid artery and the internal jugular vein had to be ligated.
THE BACTERIOLOGY OP BURN WOUNDS IN CHILDIIOOC. E. Knapp. Zbl. Chir. 90:
The hemangioma on the ear was treated with radiation therapy. Finally a plastic operation of the ectropion was done The result was satisfactory.-W. Leuterer. GIANT HEMANGIOMA WITH THROMBOCYTOPENIA: RADIOISOTOPICDEMONSTRATIONOF PLATELET SEQUESTRATION. Herbert E. Brizel 751,
and Giovonni
Raccuglia.
Blood
26:
1965.
The authors presented one case of a giant hemangioma of the thigh in a 7 week old infant, which was associated with a marked thrombocytopenia. Isotopic studies with Cr-51 tagged platelets indicated that the platelet sequestration occurred in the tumor.-MicheE G. Gilbert. CONGENITAL SCALP DEFECT IN TWIN SISTERS. Joan E. Hodgman, Allen W. Mathies, Jr. Dis.
and Norman
Child.
E.
110:293-296,
Leuan.
Amer.
J.
1965.
CONGENITAL SCALP DEFECT IN FATHER AND SON. Roger E. Johnsonbaugh, Irwin 1. Light and James M. Sutherland. Amer. J. Dis. Child. 110:297-298, 1965. These two articles concentrate on the relatively rare congenital defect of the vertex of the scalp which is seen at birth and point out that the lesions are basically an embryologic defect, possibly due to genetic factors, in the development of the skin and in some cases of the underlying skull. The prognosis is excellent since these lesions heal spontaneously in 4 to 12 weeks. Skull films should always be obtained in case there is concern about the thickness of the skull or a defect in the skull per se. Usually follow-up skull films show healing in 6 months. The fact that these lesions occur primarily in the parietal occipital areas, that the female predominates in the occurrence and that there is, as in the last article, familial occurrence points out that the genetic factor plays an important role in the disposition to this condition first described
1117.
196.5.
The author reports on the bacteriologic findings of 5 to 25 per cert body-surface burns in 34 children aged from 7 months to 11.5 years. About half of the burns were second & third degree. In all children bacteriologic examination of the throat and of the burn wounds was carried out, starting on the first day of treatment, and repeated once weekly. Of all cultures, made from the first day samples, 17 showed growth. After one week 63 samples showed growth. From the third week on. about 30 cultures with growth were obtained. Not all these cultures grew pathogenic bacteria. The most frequently encountered bacteria were Staph. aureus, nonhemolytic, the most seldom encountered were pneumococci and entrococci. B. Co.& infection was found in 5 patients. Also in 5 patients B. proteus and Ps. aeroginosa were found. Of the latter, 13 were obtained for the first time in the third week of treatment. After one week, 21 patients already had penicillin-resistance bacteria growing in their wounds and throats. Penicillin-resistance was proved in 70 per cent, chloramphenicol resistance in 45 per cent, oxytetracyclin in 40 per cent and streptomycin in 38 per cent of the first week cultures. The antibiotic treatment, proposed by the author as a routine treatment consists of penicillin, during the first week at least in a dosage of 50.000 U./, Kg. body weight, during the second week oxytretracyclin in a usual dosage, and during the third week, if B. Proteus or Ps. aeroginosa can be identified. polymycin B. Repeated controlling and sensitivity testing is important. According to the results of the bacteriologic tests, of antibiotic may be neceschanging sary.-E. A. Kale. DECIDUAL MEMBRANE TRANSPLANTATION IN CHILDREN WITH EXTENSNE BURNS. W. M&r. Piidiat. Prax. 4:581-583, 1965. In a child burn decidua
with a severe and extensive reflexa (= capsularis) mem-
INTJZRNATIONAL
ABSTBACTS
OF PEDIATRIC
SURGERY
the face and the head, including the eyelids and the ear. In several steps parts of the hemangioma were excised and covered by
in 1826 as oplasia cutis congenita.-Robert J. leant, Jr.
skin grafts. The external carotid artery and the internal jugular vein had to be ligated.
THE BACTERIOLOGY OP BURN WOUNDS IN CHILDIIOOC. E. Knapp. Zbl. Chir. 90:
The hemangioma on the ear was treated with radiation therapy. Finally a plastic operation of the ectropion was done The result was satisfactory.-W. Leuterer. GIANT HEMANGIOMA WITH THROMBOCYTOPENIA: RADIOISOTOPICDEMONSTRATIONOF PLATELET SEQUESTRATION. Herbert E. Brizel 751,
and Giovonni
Raccuglia.
Blood
26:
1965.
The authors presented one case of a giant hemangioma of the thigh in a 7 week old infant, which was associated with a marked thrombocytopenia. Isotopic studies with Cr-51 tagged platelets indicated that the platelet sequestration occurred in the tumor.-MicheE G. Gilbert. CONGENITAL SCALP DEFECT IN TWIN SISTERS. Joan E. Hodgman, Allen W. Mathies, Jr. Dis.
and Norman
Child.
E.
110:293-296,
Leuan.
Amer.
J.
1965.
CONGENITAL SCALP DEFECT IN FATHER AND SON. Roger E. Johnsonbaugh, Irwin 1. Light and James M. Sutherland. Amer. J. Dis. Child. 110:297-298, 1965. These two articles concentrate on the relatively rare congenital defect of the vertex of the scalp which is seen at birth and point out that the lesions are basically an embryologic defect, possibly due to genetic factors, in the development of the skin and in some cases of the underlying skull. The prognosis is excellent since these lesions heal spontaneously in 4 to 12 weeks. Skull films should always be obtained in case there is concern about the thickness of the skull or a defect in the skull per se. Usually follow-up skull films show healing in 6 months. The fact that these lesions occur primarily in the parietal occipital areas, that the female predominates in the occurrence and that there is, as in the last article, familial occurrence points out that the genetic factor plays an important role in the disposition to this condition first described
1117.
196.5.
The author reports on the bacteriologic findings of 5 to 25 per cert body-surface burns in 34 children aged from 7 months to 11.5 years. About half of the burns were second & third degree. In all children bacteriologic examination of the throat and of the burn wounds was carried out, starting on the first day of treatment, and repeated once weekly. Of all cultures, made from the first day samples, 17 showed growth. After one week 63 samples showed growth. From the third week on. about 30 cultures with growth were obtained. Not all these cultures grew pathogenic bacteria. The most frequently encountered bacteria were Staph. aureus, nonhemolytic, the most seldom encountered were pneumococci and entrococci. B. Co.& infection was found in 5 patients. Also in 5 patients B. proteus and Ps. aeroginosa were found. Of the latter, 13 were obtained for the first time in the third week of treatment. After one week, 21 patients already had penicillin-resistance bacteria growing in their wounds and throats. Penicillin-resistance was proved in 70 per cent, chloramphenicol resistance in 45 per cent, oxytetracyclin in 40 per cent and streptomycin in 38 per cent of the first week cultures. The antibiotic treatment, proposed by the author as a routine treatment consists of penicillin, during the first week at least in a dosage of 50.000 U./, Kg. body weight, during the second week oxytretracyclin in a usual dosage, and during the third week, if B. Proteus or Ps. aeroginosa can be identified. polymycin B. Repeated controlling and sensitivity testing is important. According to the results of the bacteriologic tests, of antibiotic may be neceschanging sary.-E. A. Kale. DECIDUAL MEMBRANE TRANSPLANTATION IN CHILDREN WITH EXTENSNE BURNS. W. M&r. Piidiat. Prax. 4:581-583, 1965. In a child burn decidua
with a severe and extensive reflexa (= capsularis) mem-