PURPOSE: Iron-deficiency anemia is the most common nutritional deficiency in young infants. This study was designed to determine feeding patterns in infants, and determine a correlation between feeding patterns and incidence of anemia. METHODS: This study was conducted by taking blood tests (hemoglobin, hematocrit, and red cell indices) by venipuncture with the electronic counters from 221 infants aged 9-12 months old, who came to Well Baby Clinics in the Department of Pediatrics, Seoul Sacred Heart Hospital for a health check-up. Their mothers answered a questionnaire regarding their feeding patterns. RESULTS: The 221 infants aged 9-12 months, were divided into three groups, i.e. infants who were exclusively breast-fed(group A=6.8%), those who had been given mixed feeding or breast milk for 2 months and then switched to artificial formula milk(group B=22.6%), and those who had been given artificial formula milk since birth(group C=70.6%). Of the 221 infants, 7 infants(3.2 %) were found to have iron deficiency anemia. Infants with anemia comprised 20.0%(3/15) of group A, significantly more than the 2.0(1/50) of group B and 1.9%(3/156) of group C(P<0.005). CONCLUSION: The incidence of iron-deficiency anemia was 3.2%, which was lower than previous reports, as 93.2% of the infants studied were from middle-class families. Seven infants with iron deficiency anemia were found to have been insufficiently fed with iron-rich weaning foods. Thus, studying the feeding patterns of infants is highly predictive of their risk for anemia. Therefore, regular blood tests on infants at high risk for anemia is recommended, as well as supplementary feeding of iron-fortified foods.
Anemia* ; Anemia, Iron-Deficiency ; Erythrocytes* ; Feeding Behavior* ; Heart ; Hematocrit ; Hematologic Tests ; Humans ; Incidence ; Infant ; Infant Nutritional Physiological Phenomena ; Malnutrition ; Milk ; Milk, Human ; Mothers ; Pediatrics ; Phlebotomy ; Surveys and Questionnaires ; Seoul ; Weaning

Salmonella typhi splenic abscesses are a very rare complication of typhoid fever. Splenectomy is the standard surgical treatment for these lesions. But these days, with improvements in imaging techniques, percutaneous drainage of splenic abscesses has been demonstrated to be one of the alternative treatment in selected cases. We report the case of a 7 year-old male, who presented with Salmonella typhi in blood and urine cultures, and a 1: 320 in O titer of Widal test. Ultrasound and computed tomography showed a single splenic abscess, 3 cm in diameter. He was treated with antibiotics, but the symptoms were not relieved. Thus we performed the percutaneous drainage of the splenic abscess under ultrasound guidance. A culture of the aspirated material was positive for Salmonella typhi, and the boy's condition improved. We think that percutaneous drainage of a single lesion was an excellent alternative to surgery, particularly because our patient was young and spleen conservation was desirable.
Abscess/*therapy ; Case Report ; Child ; Drainage ; Human ; Male ; Splenic Diseases ; Typhoid Fever/*complications

Infectious aortitis is an uncommon yet, life threatening disease. Early surgical treatment and prolonged antibiotic therapy is crucial to survival. Salmonella sp. and Staphylococcus aureus are the most common organisms isolated. There is no case report of infectious aortitis caused by Acinetobacter baumannii, which has recently emerged as a major cause of health care-associated infections. Here, we describe a 76-year-old male with infectious aortitis who experienced recurrent bacteremia due to A. baumannii in spite of adequate antimicrobial therapy after aortic valve replacement.
Acinetobacter baumannii* ; Acinetobacter* ; Aged ; Aortic Valve* ; Aortitis* ; Bacteremia* ; Humans ; Male ; Salmonella ; Staphylococcus aureus

Infectious aortitis is an uncommon yet, life threatening disease. Early surgical treatment and prolonged antibiotic therapy is crucial to survival. Salmonella sp. and Staphylococcus aureus are the most common organisms isolated. There is no case report of infectious aortitis caused by Acinetobacter baumannii, which has recently emerged as a major cause of health care-associated infections. Here, we describe a 76-year-old male with infectious aortitis who experienced recurrent bacteremia due to A. baumannii in spite of adequate antimicrobial therapy after aortic valve replacement.
Acinetobacter baumannii* ; Acinetobacter* ; Aged ; Aortic Valve* ; Aortitis* ; Bacteremia* ; Humans ; Male ; Salmonella ; Staphylococcus aureus