Dítě jako zranitelný pacient v urgentní péči

MUDr. et Mgr. Jana Šeblová, Ph.D., FESEM

Pediatr. praxi. 2025;26(3):147

Swelling of the joint in children

MUDr. Hana Vaňková, MUDr. Jiří Bufka, MUDr. Dita Cebecauerová, Ph.D., MUDr. Hana Malcová, Ph.D.

Pediatr. praxi. 2025;26(3):150-154 | DOI: 10.36290/ped.2025.028

Joint pain and swelling is a relatively common symptom that brings children to seek medical attention. By taking a full medical history and performing a detailed clinical examination, it is often possible to differentiate quickly and effectively among a wide range of potential causes. In cases where the diagnosis is not immediately clear, it is important to proceed systematically, starting with basic laboratory and imaging tests and progressing to more specific genetic or metabolic investigations if necessary. To make an accurate diagnosis, it is essential to first determine whether the symptoms are limited to a single joint or involve multiple joints....

Current approach to non-traumatic chest pain in children

MUDr. Karel Severa

Pediatr. praxi. 2025;26(3):155-158 | DOI: 10.36290/ped.2025.029

Nowadays, we are facing an uprising number of pediatric patients that are coming to pediatric ambulances and hospital admissions, complaining about chest pain. Accor­ding to the recent data, vast majority of these cases is not caused by a serious medical condition. However, due to the generally well-known fact that chest pain might be caused by a serious medical problem, all patients should be properly managed and eventually examined. As the availibility of examination methodes improves, it becomes a challenge for the medical professionals to choose the proper diagnostic algorhytm.

Screening for eye defects in a paediatrician's outpatient clinic

MUDr. Jitka Němcová

Pediatr. praxi. 2025;26(3):160-162 | DOI: 10.36290/ped.2025.030

This review article focuses on the importance and methodology of eye defect scree­ning in a paediatrician's outpatient clinic. The development of vision takes place in the first years of life, so screening for eye defects is an essential element of preventive care in children at an early age.

Doxycycline - a needless concern for pediatricians?

MUDr. Miroslav Belbl

Pediatr. praxi. 2025;26(3):163-165 | DOI: 10.36290/ped.2025.031

Doxycycline is an antibiotic associated with adverse effects for which it is used with caution, especially in the pediatric population. As has become apparent in recent years, due to the increasing number of cases of pneumonia caused by Mycoplasma pneumoniae, including those with a severe course, it has been and increasingly needs to be considered for therapy in the pediatric population. The increasing resistance of these bacteria to macrolide antibiotics may be a major reason. Fortunately, according to new studies, the new generation of tetracycline antibiotics no longer pose such a risk of tooth and bone damage compared with tetracycline alone. The...

Staphylococcus aureus as a pathogen in neonatal infections

MUDr. Veronika Pokorná, MUDr. Lenka Ryšková, Ph.D., MUDr. Tomáš Matějek, Ph.D.

Pediatr. praxi. 2025;26(3):166-170 | DOI: 10.36290/ped.2025.032

Staphylococcus aureus (S. aureus) is a significant pathogen responsible for both community-acquired and nosocomial infections in neonates. It contributes to a high incidence of invasive infections, especially in intensive care units. Colonization of the skin and mucous membranes by this agent is a major risk factor, increasing the likelihood of developing an infection up to sixfold. The pathogen causes a wide range of diseases, from localized skin infections to severe systemic conditions (e.g., sepsis, osteomyelitis, meningitis). The clinical presentation depends on the specific type of infection, and in systemic cases, it may initially be nonspecific...

Vaccinating children when travelling to countries at risk

MUDr. Pavel Kosina, Ph.D., MUDr. Šárka Rumlarová, Ph.D.

Pediatr. praxi. 2025;26(3):172-175 | DOI: 10.36290/ped.2025.033

More and more families are traveling to exotic countries, even with children of the youngest age categories. Vaccination consultation before traveling to high-risk countries may include a meeting with a pediatrician; for long-term and/or exotic stays, we recommend a consultation at a specialized travel medicine center, where the issue of the need for antimalarial prophylaxis, etc. can also be resolved. It is always necessary to verify the mandatory vaccinations that have been completed so far and, in case of absence, to supplement the missing basic vaccinations. It is appropriate for infants to make maximum use of voluntary, fully paid vaccinations...

Phytophotodermatitis as an unexpected danger: How to protect yourself and what to do?

MUDr. Júlia Bartková, MBA, MPH, Sandra Harásková, Lucie Burešová, MUDr. Dominika Miklišová

Pediatr. praxi. 2025;26(3):176-178 | DOI: 10.36290/ped.2025.034

Phytophotodermatitis, although not very common, presents a significant health risk, especially in pediatric patients. This article focuses on the phototoxic properties of plants that can cause severe phytophotodermatitis after contact with the skin follo­wed by exposure to UV radiation. The most prominent representative of this group of plants is Giant Hogweed (Heracleum mantegazzianum). Typical clinical manifestations of phytophotodermatitis include erythema, blisters, bullae, and persistent hyperpigmentation. The condition can manifest with varying severity, ranging from erythema to necrotizing defects. It is important to consider the possibility...

Stevens-Johnson syndrome as a rare complication of mycoplasma infection

MUDr. Anna Ruttkay-Nedecká, MUDr. David Frejlach, MUDr. Petra Gkalpakioti, doc. MUDr. Jan David, Ph.D.

Pediatr. praxi. 2025;26(3):179-182 | DOI: 10.36290/ped.2025.035

Mycoplasma infections can cause a range of extrapulmonary complications, including skin reactions such as Stevens-Johnson syndrome. The exact mechanism is not fully understood, but it is believed to be an immune response to the infection, which leads to tissue damage and triggers immune reactions that manifest as severe skin and mucosal involvement. In such cases, early diagnosis and appropriate treatment are crucial. The presented case report describes a boy with a respiratory infection caused by Mycoplasma pneumoniae, which later complicated with the loss of skin coverage.

Preschool children successfully treated with dupilumab

MUDr. Michaela Nováková

Pediatr. praxi. 2025;26(3):183-187

Atopic dermatitis (AD) occurs in early childhood in most children, with 80% developing it before the age of 6 years. It is the early childhood experience that significantly affects further psychosocial development. Preschool children learn social skills that involve getting to know peers, communication, listening, and cooperation. Visible manifestations of AD tend to cause stigmatization. They can lead to shyness, low self-esteem, avoidance, and the development of mental disorders. Therefore, adequate and timely treatment is important in children with a severe form of AD, which improves not only the condition of their skin and their mental well-being,...

A rare cause of extreme hypotrophy in newborns

MUDr. Marie Kasíková, MUDr. Alice Mocková, Ph.D.

Pediatr. praxi. 2025;26(3):188-191 | DOI: 10.36290/ped.2025.036

We present a case report of a severely immature newborn with a rare cause of extreme hypotrophy. The girl was diagnosed with the so-called nephrocutaneous syndrome, caused by a mutation in the epidermal growth factor receptor (EGFR) gene. Along with hypotrophy, dominate inflammatory skin lesions, susceptibility to infections, ionic imbalance and enlarged kidneys.

The importance of lactation consultant support in breastfeeding

Mgr. Adéla Švestková, prof. PhDr. Ľudmila Matulníková, PhD., Mgr. Lenka Vrlová, DiS.

Pediatr. praxi. 2025;26(3):192-194 | DOI: 10.36290/ped.2025.037

Breastfeeding plays a crucial role in the early development of a child and their overall health. Breast milk is rich in nutrients and antibodies that help strengthen the immune system and reduce the risk of various diseases. Lactation consultants play a vital role in supporting mothers in breastfeeding, with two main categories: professional and non-professional. Professional consultants are healthcare workers who provide comprehensive care and expert advice, while non-professional consultants offer emotional support and practical tips. This article analyzes data collected during a six-month study in the Czech Republic and Slovakia, comparing the advice...