652 results match your criteria: "Necker Enfants Malades University Hospital[Affiliation]"

Introduction: Due to the SARS-CoV-2 pandemic, adjustments in patient and visitor traffic were made in hospitals to limit viral exposure. The primary objective of our study was to compare the breastfeeding success of healthy newborns in a maternity ward during the 2020 lockdown period compared with the same period in the previous year.

Material And Methods: Single-center comparative study based on prospectively collected data.

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Background: Lemierre syndrome is typically associated with ear, nose, and throat (ENT) infections caused by Fusobacterium necrophorum. Since 2002, cases of atypical Lemierre-like syndrome secondary to Staphylococcus aureus have been reported.

Cases: We report two pediatric cases of atypical Lemierre syndrome with a similar presentation: exophthalmia, absence of pharyngitis, metastatic lung infection, and intracranial venous sinus thrombosis.

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Renal vein thrombosis in neonates: a case series of diagnosis, treatment and childhood kidney function follow-up.

Pediatr Nephrol

September 2023

Department of Pediatric Nephrology, Robert Debré University Hospital, Assistance Publique - Hôpitaux de Paris, and University of Paris, Paris, France.

Background: Neonatal renal vein thrombosis (NRVT) is a rare condition with little data available.

Methods: We retrospectively analyzed newborns diagnosed with NRVT admitted to 3 pediatric nephrology units in Paris from 2005 to 2020.

Results: Twenty-seven patients were analyzed (male = 59%).

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Objectives: Cytomegalovirus (CMV) is the leading cause of congenital infection worldwide. Reference anti-CMV treatment is valganciclovir/ganciclovir, which is contraindicated in pregnancy given questions about teratogenicity.

Methods: We analysed reports from VigiBase, the world's largest safety database, and performed a disproportionality analysis of adverse pregnancy outcomes associated with (val)ganciclovir compared with any other drugs or with (val)aciclovir as comparators.

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Dedicator of cytokinesis (DOCK) proteins play a central role in actin cytoskeleton regulation. This is highlighted by the DOCK2 and DOCK8 deficiencies leading to actinopathies and immune deficiencies. DOCK8 and DOCK11 activate CDC42, a Rho-guanosine triphosphate hydrolases involved in actin cytoskeleton dynamics, among many cellular functions.

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Dynein heavy chain (DYNC1H1) mutations can either lead to severe cerebral cortical malformations, or alternatively may be associated with the development of spinal muscular atrophy with lower extremity predominance (SMA-LED). To assess the origin of such differences, we studied a new Dync1h1 knock-in mouse carrying the cortical malformation p.Lys3334Asn mutation.

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Article Synopsis
  • The study investigates the characteristics and outcomes of pediatric patients hospitalized with COVID-19 in the Greater Paris area, revealing that children generally experience milder symptoms compared to adults.
  • A total of 9,163 children under 18 were analyzed from March 2020 to March 2022 across three waves of COVID-19 variants, with their cases categorized by severity into PIMS, symptomatic, and mild or asymptomatic infections.
  • Findings indicate an increase in hospitalizations over time, with the third wave showing the highest frequency of cases and a notable increase in respiratory complications among those admitted during this period.
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Working in the era of the novel coronavirus disease 2019 can predispose to cognitive bias. We present a case of life-threatening bacterial infection misdiagnosed as multisystem inflammatory syndrome in children. While multisystem inflammatory syndrome in children-related myocardial dysfunction is now a well-recognized complication of coronavirus disease 2019, a rigorous differential diagnosis approach, notably for infectious etiologies, is paramount.

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A hidden isolated retinal capillary hemangioma.

J Fr Ophtalmol

April 2023

Ophthalmology Department, Paris Cité University, Necker-Enfants Malades University Hospital, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Inserm, UMRS1138, Team 17, From physiopathology of ocular diseases to clinical development, Sorbonne Paris Cité University, centre de recherche des Cordeliers, Paris, France.

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Article Synopsis
  • Early treatment of neonatal diabetes with sulfonylureas, particularly oral glibenclamide (Amglidia), shows significant neurodevelopmental improvements and effective glycemic control in extremely preterm infants.
  • A specific case of a preterm infant born at 26 weeks treated with Amglidia demonstrated stable glucose levels and notable growth during treatment, highlighting the potential benefits of this medication.
  • The infant's treatment led to normalization of glucose profiles and regression of retinopathy of prematurity, suggesting that Amglidia could be a critical option for managing neonatal diabetes in preterm babies.
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Aim: to assess the feasibility of performing a screening of ocular pathologies after Femtosecond laser Assisted Keratopigmentation (FAK) procedure in normal eyes with the aid of multimodal imaging technologies.

Design: A Retrospective cohort study.

Participants: Thirty consecutive international patients (60 eyes) who underwent FAK for purely aesthetic reasons were chosen for this study.

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Duchenne muscular dystrophy (DMD) is a severe and progressive myopathy leading to motor and cardiorespiratory impairment. We analyzed samples from patients with DMD and a preclinical rat model of severe DMD and determined that compromised repair capacity of muscle stem cells in DMD is associated with early and progressive muscle stem cell senescence. We also found that extraocular muscles (EOMs), which are spared by the disease in patients, contain muscle stem cells with long-lasting regenerative potential.

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Concurrent and Predictive Validity of a Cycloid Loops Copy Task to Assess Handwriting Disorders in Children.

Children (Basel)

February 2023

Unit 1018-CESP, PsyDev/NTDA Team, National Institute of Health and Medical Research (INSERM), Faculty of Medicine, University of Paris-Saclay, UVSQ, 91190 Villejuif, France.

Handwriting disorders (HDs) are mainly assessed using script or cursive handwriting tasks. The most common is the scale for children's handwriting, with a French adaptation (BHK). The present study aims to assess the concurrent validity of a pre-scriptural task (copying a line of cycloid loops) with the BHK for the diagnosis of HDs.

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GH and Childhood-onset Craniopharyngioma: When to Initiate GH Replacement Therapy?

J Clin Endocrinol Metab

July 2023

Paediatric Endocrinology, Diabetology, Gynaecology Department, Necker-Enfants Malades University Hospital, AP-HP Centre, 75015 Paris, France.

Article Synopsis
  • Craniopharyngioma is a benign brain tumor that often leads to GH deficiency in children, prompting the use of growth hormone replacement therapy (GHRT).
  • A study analyzed the timing of GHRT initiation post-treatment in 71 affected patients, grouping them based on whether they started treatment before or after 12 months.
  • Results showed no significant difference in the risk of tumor recurrence or progression between patients who started GHRT sooner versus those who waited longer, indicating that the timing of therapy may not impact clinical outcomes.
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The use of non-destructive approaches for digital acquisition (e.g. computerised tomography-CT) allows detailed qualitative and quantitative study of internal structures of skeletal material.

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A high-throughput sequencing approach identifies immunotherapeutic targets for bacterial meningitis in neonates.

EBioMedicine

February 2023

Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; CNRS, INSERM, Institut Necker Enfants Malades-INEM, F-75015 Paris, France; Faculté de Médecine, University of Paris City, Paris, France; Department of Clinical Microbiology, Fédération Hospitalo-Universitaire Prématurité (FHU PREMA), Necker-Enfants Malades University Hospital, University of Paris City, Paris, France. Electronic address:

Background: Worldwide, Escherichia coli is the leading cause of neonatal Gram-negative bacterial meningitis, but full understanding of the pathogenesis of this disease is not yet achieved. Moreover, to date, no vaccine is available against bacterial neonatal meningitis.

Methods: Here, we used Transposon Sequencing of saturated banks of mutants (TnSeq) to evaluate E.

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Plasma G ganglioside potential biomarker for diagnosis, prognosis and disease monitoring of GM2-Gangliosidosis.

Mol Genet Metab

February 2023

Metabolic Biochemistry Department, Neurometabolic unit, DMU Biogem, Pitié-Salpêtrière University Hospital, AP-HP, Sorbonne University, 75013 Paris, France. Electronic address:

GM2-Gangliosidosis are a group of inherited lysosomal storage pathologies characterized by a large accumulation of G ganglioside in the lysosome. They are caused by mutation in HEXA or HEXB causing reduced or absent activity of a lysosomal β-hexosaminidase A, or mutation in GM2A causing defect in GM2 activator protein (GM2AP), an essential protein for the activity of the enzyme. Biochemical diagnosis relies on the measurement of β-hexosaminidases A and B activities, which is able to detect lysosomal enzyme deficiency but fails to identify defects in GM2AP.

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Introduction: Primary infection or reactivation of Epstein-Barr Virus (EBV) is a significant cause of morbidity and mortality in pediatric kidney transplantation. Valganciclovir (VGC) treatment is recommended for prophylaxis of cytomegalovirus infection, but its role for the prevention of EBV infection remains controversial.

Patients And Methods: All pediatric kidney transplant recipients aged <18 years old were considered for inclusion in this retrospective study.

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Dry synovitis, a rare entity distinct from juvenile idiopathic arthritis.

Pediatr Rheumatol Online J

January 2023

Pediatric Rheumatology Unit, Department of Woman and Child Health, University of Padua, Padua, Italy.

Background: Dry synovitis (DS) is a rare entity as only a few cases have been reported to date. We describe the clinical features, radiological manifestations and course of DS in comparison with rheumatoid factor negative polyarticular juvenile idiopathic arthritis (RFneg-polyJIA).

Methods: We performed a multicenter retrospective collection of data of DS patients who presented with progressive joint limitations without palpable synovitis, absence of elevated acute phase reactants, negative ANA and RF, and imaging showing joint and/or osteochondral involvement.

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Background & Aims: Bile salt export pump (BSEP) deficiency frequently necessitates liver transplantation in childhood. In contrast to two predicted protein truncating mutations (PPTMs), homozygous p.D482G or p.

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Mutations in the LPIN1 gene constitute a major cause of severe rhabdomyolysis (RM). The TLR9 activation prompted us to treat patients with corticosteroids in acute conditions. In patients with LPIN1 mutations, RM and at-risk situations that can trigger RM have been treated in a uniform manner.

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Microbiota-induced active translocation of peptidoglycan across the intestinal barrier dictates its within-host dissemination.

Proc Natl Acad Sci U S A

January 2023

Institut Pasteur, Université Paris Cité, CNRS Unité Mixe de Recherche 6047, INSERM U1306, Unité de Biologie et génétique de la paroi bactérienne F-75015, Paris, France.

Article Synopsis
  • Peptidoglycan is a big part of the cell wall in bacteria and can influence how our bodies act when it gets into them.
  • Researchers studied how peptidoglycan moves from our intestines into our bodies and found it tends to go to certain organs, especially the brain.
  • The movement of peptidoglycan is controlled by the body's nervous system and is helped by good bacteria in our gut.
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Consequences of General Anesthesia in Infancy on Behavior and Brain Structure.

Anesth Analg

February 2023

From the Normandie Universite UNICAEN, INSERM, GIP Cyceron, Institut Blood and Brain @Caen-Normandie, Physiopathology and Imaging of Neurological Disorders, Caen, France.

Background: One in 7 children will need general anesthesia (GA) before the age of 3. Brain toxicity of anesthetics is controversial. Our objective was to clarify whether exposure of GA to the developing brain could lead to lasting behavioral and structural brain changes.

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