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Acute Abdomen in Pediatric Patients With Lassa Fever: Prevalence and Response to Nonoperative Management

George O Akpede1, Adewale E Adetunji1, Ernest O Udefiagbon2

  • 1Departments of Paediatrics, Irrua Specialist Teaching Hospital, Edo State, Nigeria.

Journal of the Pediatric Infectious Diseases Society
|October 2, 2018
PubMed

Insights

Acute abdomen is not uncommon in children with Lassa fever. Nonoperative treatment was successful for most pediatric Lassa fever patients experiencing acute abdomen, suggesting this approach may be effective.

Area of Science:

  • Pediatric Infectious Diseases
  • Gastroenterology
  • Epidemiology

Background:

  • Limited data exists on the prevalence of acute abdomen (AAbd) in pediatric Lassa fever (LF) patients.
  • There is no established management policy for AAbd in children with LF.

Purpose of the Study:

  • To determine the prevalence of AAbd in pediatric LF cases.
  • To evaluate the treatment response for pediatric patients with both LF and AAbd.

Main Methods:

  • Retrospective analysis of pediatric patients diagnosed with confirmed Lassa fever.
  • Analysis of pediatric patients diagnosed with acute abdomen.

Main Results:

  • AAbd occurred in 10.3% (6/58) of pediatric LF patients.
  • LF was diagnosed in 2.8% (6/215) of pediatric AAbd patients.
  • Nonoperative management was successful in 5 out of 6 pediatric patients with both LF and AAbd.

Conclusions:

  • Acute abdomen is a notable condition in pediatric Lassa fever cases.
  • Nonoperative treatment appears effective for AAbd in pediatric LF.
  • Consider Lassa fever testing for children with febrile AAbd in endemic regions.

Keywords:
Lassa feveracute abdomenchildrencomorbidityconservative treatment

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