Neumonía recurrente y síndrome de obstrucción bronquial de difícil manejo en una niña de un año 3 meses / Recurrent pneumonia and bronchial obstruction syndrome with difficult management in a girl of one year and 3 months old

Reportamos el caso de una paciente con neumonía recurrente, obstrucción bronquial secundaria a aspiración pulmonar crónica y déficit ponderal. Operada de atresia esofágica y fístula traqueoesofágica al nacer. La fístula traqueoesofágica está asociada con múltiples complicaciones, incluyendo neumonía recurrente, injuria pulmonar aguda, síndrome de dificultad respiratoria aguda, absceso pulmonar, pobre nutrición, bronquiectasias de aspiración recurrente, falla respiratoria y muerte. El rol del procedimiento endoscópico n(broncoscopia) es especialmente importante en el diagnóstico y localización de la fístula traqueoesofágica.

We report a pediatric case associated with recurrent pneumonia, respiratory symptoms with feeding, recurrent wheezing and failure to thrive. She has a surgical repair of tracheoesophageal fistula and esophageal atresia at birth.Persistent TEF are associated with multiple complications, including recurrent pneumonia, acute lung injury, acute respiratory distress syndrome, lung abscess, poor nutrition, bronchiectasis from recurrent aspiration, respiratory failure, and death.The role of endoscopic procedures (bronchoscopy) is especially important in diagnosis and localizing TEF.

Agentes virales en niños menores de un a±o hospitalizados por IRA baja en el (HEP) Hospital de Emergencias Pedißtricas 2001-2002 / Viral agents in-year-old minor children hospitalized for fall WILL GO in the (HEP) Hospital of Paediatric Emergencies 2001-2002

Objetive: To study the viral etiology of lower respiratory tract infection (LRTI)in hospitalized (young) children, less than 1 y O. Methodology: A retrospective review was performed of LRTI patients aged less than 12 month who were admitted to the Hospital de Emergencias Pediatricas between 2001 and 2002. Respiratory viruses in their nasopharingeal secretion were identified by (IFI) indirect inmunofluorescence, viral culture or both. Results: A total of 308 children were included in the study. The mean age was 4.4 +/- 2.92 months andM:F ratio was 1.9:1. The most common diagnosis of LRTI was pneumonia (56 por ciento), followed by bronchiolitis (20 por ciento), pertussis like syndrome (5) por ciento and croup (2 por ciento). Positive IFI rate was 255 (82 por ciento). Influenza A was the commonest virus by IFI(36 por ciento ), followed by respiratory syncytial virus (27 por ciento), adenovirus (22 por ciento). Conclusion: Influenza was the commonest virus isolatedin pneumonia(p =0.040) and VSR was de commonest virus in bronchiolitis (p=0.013). Young children admitted with LRTI had 82 por ciento positive IFI study.