Spontaneous pneumomediastinum as a complication in human bocavirus infection.

The most common causes of spontaneous pneumomediastinum (SPM) in children are asthma attack and respiratory tract infection. Here, we describe a case of SPM in a human bocavirus-infected 2-year-old boy with bronchiolitis.

The surgical management of traumatic c6-c7 spondyloptosis.

A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery.

Spontaneous rupture of the spleen in a patient with systemic lupus erythematosus initially presented as Evans syndrome.

Background: Although splenic abnormalities are common in patients with lupus, spontaneous rupture of spleen is extremely rare.

Observations: A 15-year-old boy with new-onset Evans syndrome subsequently diagnosed as systemic lupus erythematosus developed spontaneous rupture of spleen during the course of his illness. Despite the severe thrombocytopenia, he was managed conservatively with gradual regression of hematoma without further complication.

Successful use of fondaparinux in a child with heparin-induced thrombocytopenia.

Heparin-induced thrombocytopenia (HIT) is a well described side effect of heparin therapy. A 12-year-old boy developed deep-vein thrombosis. Risk factors for initial thrombosis are antiphospholipid syndrome and heterozygous mutation for prothrombin G20210A.