1.Hypersexuality In A Rape Victim Child
Nur Amirah Shibraumalisi ; Mohd Hafidzudin Zainal Abidin ; Nabil Muhammad Al Kuddoos ; Abdul Hanif Khan Yusof Khan
Malaysian Journal of Medicine and Health Sciences 2021;17(No.4):422-424
Hypersexuality is rare in children. Our case describes a 14-year-old girl who presented with a history suggestive of
hypersexuality. She was repeatedly raped and exposed to video pornography at a very young age. Consequently,
she became addicted to pleasure during sexual intercourse and actively involved in multiple unprotected sexual
intercourses. Management, in this case, was challenging, where early intervention with contraceptive methods and
cognitive behavioural therapy were unsuccessful. Subsequently, alternative treatment with Islamic psycho-spiritual
therapy combined with conventional therapy resulted in an improvement in her sexual pre-occupation. This case
highlights the importance of recognition of hypersexuality, especially among children with a history of sexual abuse
as management proofs to be challenging, and requires a multimodal approach to prevent a potentially devastating
outcome.
2.A CASE OF MYOCARDIAL INJURY IN AN INFANT WITH CARBON MONOXIDE POISONING
Kevin Chuing Shen Wong ; Ahmad Khaldun Ismail ; Nabil Muhammad Al Kuddoos
Journal of University of Malaya Medical Centre 2022;25(1):57-60
Carbon monoxide poisoning is described as “silent killer” because carbon monoxide is an odourless, colourless, tasteless gas and the clinical presentation is non-specific. A two-month-old boy presented with rapid breathing, irritable, and refused to be fed. The symptoms occurred approximately 1 h after waiting with his father in the car with the engine running. The father also presented with symptom of carbon monoxide poisoning. The child had respiratory distress and sinus tachycardia. The child’s carboxyhaemoglobin level was normal, but the father’s level was elevated. Serum lactate and troponin I were raised. He was given 100% normobaric oxygen and was admitted. Subsequently his condition improved and was discharged the next day. Infants are more prone to the effects of carbon monoxide poisoning. When an infant suddenly become unwell, high index of suspicion and detail collaborative history are required so that carbon monoxide poisoning will not be missed out.
Carbon Monoxide