ABSTRACT
En el presente trabajo se comparan los niveles sericos de Proteina C Reactiva (PCR) con la severidad de la pancreatitis aguda biliar (PAB), en los pacientes que ingresaron con esta patologia al Hospital de La Samaritana de Bogota, entre los años de 1997 y 1998; se encontro que el 86 por ciento de las PAB fueron leves y el 14 por ciento, severas; el 70 por ciento de los pacientes fue del sexo femenino y el 30 por ciento, masculino; el 50 por ciento con edades por encima de 47 años y el grupo más afectado fue el comprendido entre 40 y 59 años. La comparacion retrospectiva de la PCR con la severidad de la PAB, mostro que los 9 casos severos presentaron niveles elevados de PCR con un valor minimo de 190 mg/L; 4 pacientes que evolucionaron como episodios leves, tambien mostraron valores de PCR por encima de 190 mg/L, lo que se atribuyo a patologias concomitantes. Cincuenta pacientes que tuvieron niveles de PCR menores que 190 mg/L, cursaron como PAB leves. La PCR tuvo una sensibilidad del 100 por ciento y una especificidad del 92,5 por ciento como marcador de severidad.
Subject(s)
Pancreatitis , C-Reactive ProteinABSTRACT
Las infecciones necrotizantes de los tejidos blandos, a pesar de ser una patologia infrecuente, tienen una elevada mortalidad en nuestro medio. La sospecha clinica y el tratamiento quirurgico temprano constituyen la piedra angular en su terapeutica. Se presenta una revision bibliográfica y la experiencia institucional en un Hospital de tercer nivel, durante los ultimas 5 años.
Subject(s)
Soft Tissue InfectionsABSTRACT
An eight-month survey of patients with gastrointestinal complaints is presented. There were 213 cases collected. Based on stool examinations, Ascaris lumbricoides is still the most common followed by Giardia lamblia and Trichuris trichiura, respectively. From these 213 cases, Giardia was detected in 34 patients. Most of the subjects belong to the older age group between 7-10 years. Anorexia and weight loss are the most common complaints followed by diarrhoea. Based on the duration of complaints, giardiasis is a chronic infection. All 34 subjects were managed with metronidazole at a dose of 40 mg per kg per day in three divided doses for a period of seven days. Cure rate was 100% with no toxicity noted. Metronidazole is therefore suggested as a drug of choice for Giardia lamblia infection.
Subject(s)
Child , Child, Preschool , Chronic Disease , Diarrhea/drug therapy , Feces/parasitology , Female , Follow-Up Studies , Gastroenteritis/drug therapy , Giardiasis/drug therapy , Humans , Male , Metronidazole/therapeutic useABSTRACT
A 6-month survey of diarrhoeas in Vietnamese refugee camp children was carried out and was responsible for 32.5% of pediatric consultations. One hundred twenty cases were studied and underwent laboratory work-up. Peak incidence was in the 4-6 years. Diarrhoea was observed to be at its peak in April and June which coincides with the increase in the number of transients and with the rainy season. Diarrhoea with fever and abdominal pain were the most prominent clinical symptoms. Only 8.3% grew bacterial pathogens' enteropathogenic E. coli being the most common followed by Staphylococcus aureus. It is apparent that a causative agent other than a bacterial pathogen such as a virus may play a major role in diarrhoeas in Vietnamese refugee infants and children. The lack of environmental sanitation and health education play a major role in the causation of diarrhoea in these refugee children.