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Medisan ; 15(7)jul. 2011. ilus
Article in Spanish | LILACS | ID: lil-616262

ABSTRACT

Se presenta el caso clí­nico de un niño de 15 meses de edad, el cual experimentó varias infecciones en la etapa neonatal (entre ellas por Candida albicans) y otras complicaciones; sin embargo, no pudo recibir el esquema terapéutico completo contra la candidiasis sistémica por habérsele diagnosticado un daño funcional hepático. Posteriormente, al detectársele una endocarditis micótica, se le reemplazó la válvula mitral. En su último ingreso padecía, además, broncoespasmo asociado a neumonía bacteriana, anemia carencial, deshidratación isotónica moderada, acidosis metabólica e inmunodeficiencia mixta, causantes de una insuficiencia multiorgánica que le produjo la muerte al dí­a siguiente de su admisión hospitalaria.


A case report of a child aged 15 months who underwent several infections (i.e. due to Candida albicans) and other complications during the neonatal stage is presented. However, he could not receive the complete treatment against systemic candidiasis because of an impairment of liver function. Subsequently, mitral valve was replaced when detecting mycotic endocarditis. In addition, while being hospitalized for the last time, he underwent bronchial spasm associated with bacterial pneumonia, deficiency anemia, mild isotonic dehydration, non-respiratory acidosis, and mixed immunodeficiency which caused multiple organ failure and death the day after his hospital admisión.


Subject(s)
Humans , Male , Endocarditis , Endocarditis, Bacterial , Infant Mortality , Lung Diseases, Fungal , Mitral Valve , Multiple Organ Failure
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