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Coriolan Emil ULMEANU

Latest posts by Coriolan Emil ULMEANU (see all)

Articles signed on MÆDICA, JCM:

Rare Conduction Abnormality in a Four-year-old Child with Carbamazepine Acute Poisoning

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MÆDICA - a Journal of Clinical Medicine | Vol. 14, No. 2, 2019
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Rare Conduction Abnormality in a Four-year-old Child with Carbamazepine Acute Poisoning

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ABSTRACT

Background: Cardiac conduction abnormalities are reported after ingestion of a toxic dose of carbamazepine.
Case presentation: We describe the case of a four-year-old child with carbamazepine acute poisoning who developed reversible synoatrial block along with neurological toxic signs, despite a serum level of carbamazepine close to the upper limit of the therapeutic range.
Discussion: Although carbamazepine-induced sinoatrial block has been reported in the literature even at therapeutic doses in adult patients, our personal research has not identified any record of this cardiac conduction abnormality in acute carbamazepine poisoning at pediatric age.
Conclussion: The electrocardiogram is indispensable in the assessment and monitoring of pediatric cases with acute poisoning with carbamazepine.
Keywords: carbamazepine, poisoning, synoatrial block, child

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Esophageal Multichannel Intraluminal Impedance and pH Monitoring in the Evaluation of Achalasia and Gastroesophageal Reflux Disease in a Child with Down Syndrome: a Case Report

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MÆDICA - a Journal of Clinical Medicine | Vol. 9, nr. 4, 2014

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Esophageal Multichannel Intraluminal Impedance and pH Monitoring in the Evaluation of Achalasia and Gastroesophageal Reflux Disease in a Child with Down Syndrome: a Case Report

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ABSTRACT

We report the case of a rare association between achalasia and Down syndrome in a child presenting with symptoms that suggest a gastroesophageal reflux. Evaluation of the patient with 24-hour multichannel intraluminal impedance and pH recording and upper endoscopy lead to the diagnosis of achalasia. However, the persistence of the symptoms after the concurrent surgical myomectomy and fundoplication has led to repeat pH-impedance monitoring testing and endoscopy, which identified the presence of gastroesophageal reflux disease. We emphasize in this paper the importance of multichannel intraluminal impedance and pH monitoring in detecting esophageal motility disorders.

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