Česko-slovenská pediatrie, 2024 (vol. 79), issue 6
Foreign bodies in gastrointestinal tract in paediatric patientPediatrické postupy v praxi
Michal Kubát, Irena Buksakowska, Vojtěch Dotlačil, Petra Dytrych, Ondřej Hradský, Petr Jabandžiev, Eva Karásková, Radan Keil, Veronika Koukolská, Jan Melek, Jana Pavlíčková, Jan Schwarz, Martin Zimen, Jiří Bronský
Čes-slov Pediat 2024, 79(6):309-313 | DOI: 10.55095/CSPediatrie2024/055 
This article presents a novel recommended clinical approach focused on managing pediatric patients with the presence (or suspected presence) of a foreign body in the gastrointestinal tract (GIT). The objective of this work was to develop an algorithm that enables physicians at the initial point of contact with a patient who has ingested a foreign object to make rapid, accurate, and efficient decisions regarding the subsequent diagnostic and therapeutic steps. For the most effective approach, foreign bodies are categorized into different groups. These categories determine the level of clinical activity required, particularly in identifying high-risk...
Psychomotor development during the first year of life
Renata Cíbochová
Čes-slov Pediat 2024, 79(6):314-322 | DOI: 10.55095/CSPediatrie2024/056
Correct psychomotor development in the first year of a life is essential for all the further development. We aim to describe psychomotor development in a healthy child month after month, with an emphasis on essential developmental milestones.
Rare causes of pulmonary hypertension in infants
Martin Genzor, Ľubica Kováčiková, Peter Škrak
Čes-slov Pediat 2024, 79(6):323-328 | DOI: 10.55095/CSPediatrie2024/039
Pulmonary hypertension is a serious disease leading to right-sided heart failure. Although the incidence of pulmonary hypertension associated with congenital heart diseases is decreasing, the incidence of pulmonary hypertension associated with other non-cardiac diseases has an increasing trend. We provide three case reports of patients with noncardiac causes of pulmonary hypertension who were hospitalized in the Pediatric Cardiac Center, a newborn with tricuspid valve dysplasia and thyreotoxicosis, a newborn with congenital pulmonary lymphangiectasis treated with extracorporeal oxygenation, and an infant with alveolar capillary dysplasia with misalignment...
Two rare symptomatic vascular anomalies in one child
Michaela Murgašová, Terézia Kráľová, Kamil Zeleňák, Peter Bánovčin
Čes-slov Pediat 2024, 79(6):329-334 | DOI: 10.55095/CSPediatrie2024/058
The spectrum of vascular anomalies with different biological behavior is very wide. They are divided into vascular malformations and vascular tumors - hemangiomas. Although many of them look similar, their clinical manifestation is different - from a mild self-limiting course to life-threatening complications requiring an intensive multidisciplinary therapeutic approach. Frequently, even in profes sional practice, all vascular anomalies are incorrectly called hemangiomas. It is very important to classify and name the vascular anomaly correctly so that we can choose the right treatment and prevent serious complications. Infantile hemangioma (IH) is...
Extent of renal damage in children with vesico-ureteral reflux grade III according to 99mTc-DMSA scan grading
Daniela Chroustová, Linda Černá, Jiří Trnka, Jan Langer, Ivana Urbanová, Radim Kočvara
Čes-slov Pediat 2024, 79(6):335-340 | DOI: 10.55095/CSPediatrie2024/059
Introduction: The aim of this study was to determine the risk of renal damage in children diagnosed with vesico-ureteral reflux (VUR) grade III, which is generally considered as a low-grade VUR, according to the occurrence of renal changes using the 99mTc-DMSA scan grading. Methods: A total of 132 patients with VUR were examined (56 boys, 76 girls aged 6 months -11 years) 6 months after acute pyelonephritis with. Static renal scintigraphy was performed 2 h after i.v. administration of 18-80 MBq 99mTc-DMSA. Determination of the degree of kidney involvement according to the 99mTc-DMSA grading G0-G4 (Mattoo et al) was...
Causes of hyperCKemia in children
Patrícia Balážová, Karin Viestová, Ivan Martinka, Miriam Kolníková
Čes-slov Pediat 2024, 79(6):341-348 | DOI: 10.55095/CSPediatrie2024/041
Creatine kinase (CK) is an enzyme located in tissues with high energy demands, such as skeletal muscles or myocardium. It plays an essential role in cells' energy metabolism. The level of CK in the blood reflects the muscle membrane' s integrity, and elevated CK levels can indicate muscle damage. However, diagnosing the cause of elevated CK levels in children requires the expertise of an experience d pediatrician. This may be due to not only neuromuscular diseases but also a range of other diseases.
Genomic newborn screening - ethical questions and practical challenges
Věra Franková, Pavel Ješina
Čes-slov Pediat 2024, 79(6):349-352 | DOI: 10.55095/CSPediatrie2024/025
The aim of newborn screening (NBS) is to identify newborns with serious but treatable diseases before the onset of clinical symptoms. Declining costs and improvements in genome sequencing technologies have led to consideration of expanding the NBS programme to include a number of other rare genetic diseases that can now be identified by sequencing large regions of the genome. Incorporating genome sequencing into the programme will place high demands on the whole NBS system. It will be necessary to build the infrastructure to ensure informed consent, manage the large increase of genomic tests and their rapid execution, provide comprehensive multidisciplinary...