Przeglądanie według Autor "Korczowski, Bartosz"

Aktualnie wyświetlane 1 - 3 z 3

Clinical profile and management of patients with pediatric inflammatory multisystem syndrome – temporally associated with SARS-CoV-2 – single-center experience
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022) Opalińska-Zielonka, Paulina; Wiącek, Katarzyna; Marczak, Paweł; Piasecka, Krystyna; Korczowski, Bartosz
Introduction and aim. Pediatric Inflammatory Multisystem Syndrome (PIMS-TS) is a new condition that has emerged in children during the COVID-19 pandemic. Many clinical signs and symptoms resemble those found in Kawasaki disease (KD). Material and methods. The following data were considered: clinical presentation, comorbidities, laboratory findings, abnormalities in additional tests, exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the child and his family members, applied treatment and return to full health. Results. In the presented study nineteen children were analyzed. Fever was a universal finding in our group and it’s mean duration was 7 days (range 5-9). Other common symptoms included abdominal pain and severe weakness (in 89.5%), rash and conjunctivitis (in 84.2%), vomiting (in 73.7%) and mucous membrane involvement (in 63.2%). In nearly half of cases, echocardiography revealed fluid in the pericardial sac and left ventricular systolic dysfunction (in 52.6% and 47.4% respectively). 21.1% of patients had coronary artery abnormalities. 26,3% of the children required treatment with dopamine and/or milrinone. In 15.7% ICU admissions and assisted ventilation was necessary. No deaths were recorded. Conclusion. One should bear in mind that PIMS-TS can mimic KD, appendicitis and meningitis, which may pose a diagnostic challenge.
Decreased Bioelectrical Impedance Phase Angle in children and adolescents with newly diagnosed type 1 diabetes: A case-control study
(2018) Więch, Paweł; Bazaliński, Dariusz; Binkowska-Bury, Monika; Korczowski, Bartosz; Mazur, Artur; Dąbrowski, Mariusz
Objective. The aim of this study was to assess the body composition and nutritional status of children and adolescents with newly diagnosed type 1 diabetes by using bioelectrical impedance analysis (BIA) with phase angle (PA) calculation. PA is considered to be the most sensitive indicator of the nutritional and functional status and it has not been evaluated in such population yet. Research Design and Methods. 63 children and adolescents aged 4 to 18 years, with newly diagnosed type 1 diabetes, were included in the study. Control group consisted of 63 healthy children and adolescents, without diabetes or other chronic disease having impact on the nutritional status, strictly matched by gender and age in a 1:1 case-control manner. In both groups a BIA was performed and PA was calculated. Results. Diabetic patients had highly significantly lower PA, 4.85 ± 0.86 vs. 5.62 ± 0.81 respectively, P<0.001 compared to control subjects. Also lower percentage of body cell mass (BCM%), 46.89 ± 5.67% vs. 51.40 ± 4.19% respectively, P<0.001, lower body cell mass index (BCMI), 6.57 ± 1.80% vs. 7.37 ± 1.72% respectively, P=0.004 and lower percentage of muscle mass (MM%), 44.61 ± 6.58% vs. 49.40 ± 7.59% respectively, P<0.001, were found in diabetic group. Conclusions. The lower PA score together with lower MM%, BCM% and BCMI in diabetic patients indicate their worse nutritional and functional status compared to healthy subjects. To assess the predictive and prognostic value of these findings further prospective studies in this population are required.
Parathyroid adenoma in a 15-year-old girl with recurrent urolithiasis
(Publishing Office of the University of Rzeszow, 2023-06) Kucaba, Patrycja; Dziadzio-Gąsior, Katarzyna; Podlasek, Robert; Bar, Piotr; Korczowski, Bartosz
Introduction and aim. The incidence of urolithiasis in children has been growing steadily for several decades, and it accounts for an increasing percentage of hospitalizations. Kidney stones are deposits of various mineral salts. Most of them are composed of calcium, favored by hypercalcemia and hypercalciuria. Primary hyperparathyroidism is one of the reasons for increased calcium levels in the blood. Description of the case. A 15-year-old girl was hospitalized due to recurrent urolithiasis. Investigations revealed hypercalcemia with elevated parathyroid hormone. Ultrasound of the thyroid gland showed a local change near the lower pole of its right lobe, and Sestamibi nuclear scan confirmed the presence of the adenoma of the lower right parathyroid gland. Surgical removal of the parathyroid gland with the present adenoma was performed. Calcium and phosphate homeostasis parameters and the kidneys’ ultrasound image were without any significant deviations from the norm. Conclusion. After finding the cause of recurrent urolithiasis, the applied surgical treatment resolved all disease manifestations.