Malaysian Journal of Paediatrics and Child Health <p>The online Malaysian Journal of Paediatrics and Child Health (MJPCH) provides a forum for the dissemination of original research articles as well as review articles in all areas related to Paediatrics and Child Health.</p> <p>This open-access journal focuses on cutting-edge research in the field of Paediatrics and Child Health, including case reports on different clinical findings, hence sharing not only the knowledge but the experience of specialists and consultants in the related fields. Researchers will also have the opportunity to submit their findings in a form of short communications. Different types of submissions will benefit not only the paediatricians but also the general medical profession.</p> Malaysian Paediatric Association en-US Malaysian Journal of Paediatrics and Child Health 1511-4511 AN OVERVIEW OF ATYPICAL BACTERIAL IN CONGENITAL PNEUMONIA <p>Congenital pneumonia is one of the common causes of respiratory distress at birth with significant morbidity and mortality in infants. Estimates show that neonatal pneumonia including congenital pneumonia contributes to between 750 000 and 1.2 million neonatal deaths every year which accounts for 10% global child mortality. Etiological agents are many and vary but atypical bacterial causes are few. The commonest cause for atypical bacteria is Ureaplasma urealyticum. Congenital pneumonia is often clinically difficult to diagnose owing to poor specificity of clinical signs, with similarities in radiologic presentation with other respiratory conditions of the newborn. Isolation of causative organism (s) by culture from nasopharyngeal aspirates or tracheal aspirates obtained within 8 hours of life is the gold standard of its diagnosis. However, this technique is elaborate and time consuming in identifying atypical bacteria. Development of a more sensitive modality such as polymerase chain reaction (PCR) has dramatically altered the microbiological diagnosis of congenital pneumonia.</p> Norlijah Othman Copyright (c) 2018 Malaysian Journal of Paediatrics and Child Health 2018-12-03 2018-12-03 24 2 A LARGE LEFT VENTRICULAR TUMOUR PRESENTING WITH ARRHYTHMIAS IN A 2-MONTH-OLD INFANT <p>Primary cardiac tumours (PCT) are rare in the paediatric population. They can present in a variety of ways – from being asymptomatic, obstructive with heart failure, strokes, arrhythmias or sudden death. We present a 2-month-old child who was admitted because of heart failure from varying types of arrhythmias and was found on echocardiography to have a large left ventricular tumour. A high clinical suspicion in any infant or child who presents with an unexplained heart murmur, arrhythmias or congestive heart failure should prompt relevant investigations ruling out this entity.</p> Abdul Rahim Wong Copyright (c) 2018-12-03 2018-12-03 24 2 NAIL-PATELLA SYNDROME WITH NEPHROTIC SYNDROME AND DEAFNESS: A CASE REPORT <p>Nail patella syndrome (NPS) is a rare hereditary disorder, characterized by typical dermatological and musculoskeletal abnormalities. It is an autosomal dominant condition resulting from the mutation of LMX1b gene at chromosome 9q34. We herein report a case of NPS aged 18 years, having Nephrotic syndrome with atypical involvement of deafness. She had classical features of a syndrome like absent patella, deformed elbow, dysplastic nail of fingers and toes, and iliac horn.</p> Muhammad Zaki Copyright (c) 2018-12-03 2018-12-03 24 2