Asian Journal of Pediatric Research <p style="text-align: justify;"><strong>Asian Journal of Pediatric Research</strong>&nbsp;<strong>(ISSN: 2582-2950)</strong> aims to publish&nbsp;high-quality&nbsp;papers in all aspects of&nbsp;‘Pediatric Research’. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> Asian Journal of Pediatric Research en-US Asian Journal of Pediatric Research 2582-2950 Neonatal hypocalcemic Seizures: About a 41-Day-Old Infant <p>Neonatal crises have several etiologies. Hypovitaminosis D and hypocalcemia are the most common cause of childhood seizures, but their frequency has been reduced due to vitamin D supplementation and infant formula. Most hypocalcemic crises have an underlying endocrinological origin rather than a deficit in intake. We describe the case of a 41-day-old infant admitted for neonatal seizures for hypocalcemia. Although symptoms and concentrations of calcium and parathyroid hormone (PTH) levels favored isolated congenital hyperparathyroidism after eliminating other differential diagnoses. The course of the disease was favorable with intravenous (IV) calcium gluconate 10%, then orally alfacalcidol and vitd2. The case is presented with a brief review of the pathophysiology, differential diagnosis and treatment of neonatal hypocalcemia.</p> A. Radi O. Bakkali M. Kmari A. Ourrai A. Hassani R. Abilkassem A. Agadr ##submission.copyrightStatement## 2020-06-22 2020-06-22 9 14 10.9734/ajpr/2020/v3i430133 Concurrent Sickle Cell Anemia and Diabetes Mellitus with Ketosis in a Libyan Toddler: First National Report and Youngest Case Study <p>Sickle cell Anemia (SCA) is a common inherited haemoglobinopathy resulting from a single-point mutation on the β-globin subunit of hemoglobin. It is a chronic condition with multi-system involvement. Growth delay, osteopenia and hypogonadism are common endocrine dysfunctions with a lower frequency of impaired glucose tolerance. However, there is an association between SCA and diabetes mellitus (DM), though it is very rare. Certainly, there are only a few published reports worldwide outlined this uncommon combination. In this report, we will present the first Libyan case study of co-existence of the two diseases in a-16-month-old male toddler recording the youngest patient diagnosed with such a rare combination. The child, who was diagnosed earlier with SCA, brought with concerns of frequent changing nappies (polyuria) and excessive thirst (polydipsia) for 2 weeks that worsened recently. On admission, the toddler was distressed, lethargic and his lab parameters showed hyperglycemia, ketonuria, glycosuria and acidosis, a diagnosis of diabetic ketoacidosis (DKA) on the background of SCA therefore was made. Further observations are warranted to properly guide about the diagnosis and management of such rare cases.</p> Moftah Alhagamhmad Alia Alhassony Abdulhamid . Aisha Elarwah Shirin Alougly Suliman Elbrgathy Nuri Shembesh Emhemed Mousa ##submission.copyrightStatement## 2020-07-01 2020-07-01 15 19 10.9734/ajpr/2020/v3i430134 The Rate of Hospitalizations and Intensive Care Admissions in Boston Children Hospital <p>Much remains unknown about the overall impact of COVID-19 on the pediatric population because of the relative low incidence of symptomatic pediatric cases compared to other age groups. Recent anecdotal reports of rare and unique illnesses related to COVID-19 in this population calls for a more robust analysis. A time series analysis from open source Center for Disease Control (CDC) data on Boston Children’s Hospital over a three-week period from April 21, 2020 thru May 9, 2020 was completed. An overall downward trend of both COVID-19 hospitalizations and patients requiring Intensive Care Unit (ICU) care was found. Moreover, the ratio of patients hospitalized requiring ICU treatment decreased. These findings suggest that pediatric patients were seen earlier in the course of illness as reports emerged linking COVID-19 to symptomatic and life-threatening illness in children. This data is intended to raise this general issue to the broad readership of The Asian Journal of Pediatric Research.</p> Rajeev Nagpal Stanislav Seltser Nitender Goyal ##submission.copyrightStatement## 2020-07-03 2020-07-03 20 23 10.9734/ajpr/2020/v3i430136 A Retrospective Study of Pediatric Urinary Tract Infections of Tamatave University Hospital Center, Madagascar <p>Urinary tract infection (UTI) is very common in children. The future of kidney function depends on its management.</p> <p>Our objective was to investigate the epidemio-clinical, bacteriological and therapeutic profile of UTIsin the Pediatric Department of Tamatave University Hospital Center, Madagascar for better care of children.</p> <p><strong>Methods:</strong> This is a retrospective and descriptive study that was carried out in the Pediatrics Department of Tamatave University Hospital over a three-year period from January 1, 2017 to December 31, 2019. The parameters retained and studied were age, gender, clinical signs, pathogens identified with the results of the antibiotic susceptibility tests and the treatments received.</p> <p><strong>Results:</strong> The frequency of UTI was 7.46%. The average age was 11.21 months, with extremes of 2 to 120 months. Fever was the main symptom found (80.95%) followed by urinary signs. <em>Escherichia coli</em> was the most frequently isolated bacteria (61.90%). Almost all of the isolates found (98%) were resistant to amoxicillin, tetracycline and cotrimoxazole. Ceftriaxone alone was the most used (44.44%).</p> <p><strong>Discussion:</strong> This study suggests that gentamicin and ceftriaxone (even though ESBLs were found) should be included in the treatment protocol for UTIs in the absence of an antibiogram, which is not always available in our context.</p> Arthur Bien Aimé Ratsimbazafy Andry Maharo Andrianarivelo Narison Mbolanirina Lala Rakotomahefa Heriniaina Rakotoarisoa Van Cuong Miora Anissa Jean De La Croix Rasolonjatovo Norotiana Rabesandratana ##submission.copyrightStatement## 2020-06-10 2020-06-10 1 8 10.9734/ajpr/2020/v3i430132