RESUMEN
La celulitis orbitaria representa una causa frecuente de inflamación de la órbita, constituyendo una urgencia médica que requiere un manejo multidisciplinario. Se presenta caso de una recién nacida con clínica de aumento de volumen en región bipalpebral derecha y fiebre de 24 horas de evolución. Al examen físico se evidencia proptosis de ojo derecho, aumento de volumen bipalpebral que impide la apertura del globo ocular en su totalidad con signos de flogosis y secreción purulenta en borde palpebral. Los laboratorios reportan leucocitosis y trombocitosis reactiva; tomografía de orbita muestra tumefacción y edema periorbitario derecho, aumento difuso de densidad grasa post-septal extra e intraconal, hallazgos sugestivos de celulitis orbitaria derecha. Se indica antibioticoterapia con vancomicina y cefotaxime, ameritando además drenaje de absceso, obteniéndose secreción purulenta, en la que se aísla Estafilococo aureus meticilino resistente. Siendo una patología inusual en este grupo etario, se recomienda la publicación de este caso(AU)
Orbital cellulitis represents a frequent cause of inflammation of the orbit, constituting a medical emergency that requires multidisciplinary management. We present a case of a newborn with clinic of volume increase in right bipalpebral region and fever of 24 hours of evolution. Physical examination reveals proptosis of right eye, increase of bipalpebral volume that prevents the opening of the eyeball in its entirety with signs of flushing and purulent eyelid margin secretion. Laboratories report leukocytosis and reactive thrombosis; orbital tomography scan shows right periorbital swelling and edema, diffuse increase of extra and intraconal post-septal fat density, suggestive findings of right orbital cellulitis, covered with vancomycin and cefotaxime; subsequently requires abscess drainage where Staphylococcus aureus methycilin- resistant is isolated. Being an unusual pathology in this age group, the publication of this case is recommended(AU)
Asunto(s)
Humanos , Femenino , Recién Nacido , Recién Nacido , Urgencias Médicas , Celulitis Orbitaria , Examen Físico , Signos y Síntomas , Tomografía , Drenaje , Absceso , LaboratoriosRESUMEN
Introdução: Cerca de 50% da população refere algum tipo de insatisfação com a aparência. Os hábitos comportamentais que motivam os pacientes a procurar tratamentos cosméticos ainda não estão completamente entendidos. Objetivos: Avaliar os aspectos comportamentais, psicológicos e psiquiátricos de pacientes com celulite. Métodos: Estudo transversal observacional descritivo. Na primeira etapa, 46 voluntárias responderam a questionário autoaplicável e, na segunda etapa, um psiquiatra aplicou o questionário Mini. Resultados: A maioria das entrevistadas referiu o início das lesões de celulite após o início da puberdade. Os ambientes que mais causaram desconforto quanto à celulite foram praia (87%) e piscina (67,4%). Quase metade das pacientes referiu já ter recebido algum tipo de comentário constrangedor em razão da sua celulite e 78,3% delas sentem-se pressionadas a procurar tratamentos. Distúrbios de alimentação apresentados incluíram uso de drogas, ingestão compulsiva de alimentos, culpa após as refeições e indução de vômitos. O transtorno emocional específico mais encontrado foi ansiedade generalizada. Conclusões: Pacientes com celulite podem apresentar desconforto emocional e sentimentos negativos em situações comuns do dia a dia. Alterações em hábitos comportamentais específicos e presença de comorbidades psicológicas ou psiquiátricas podem estar presentes em algumas pacientes.
Introduction: About 50% of the population reports some kind of dissatisfaction related to their physical appearance. Patients' motivations for seeking cosmetic treatment are not yet fully understood. Objectives: To evaluate the behavioral, psychological, and psychiatric characteristics of patients with cellulite. Methods: In the first phase of this cross-sectional, descriptive and observational study, forty-six volunteers answered a self-administered questionnaire. In the second phase, a psychiatrist administered the M.I.N.I. questionnaire. Results: Most interviewees described the forthcoming of cellulite during puberty. Discomfort caused by cellulite was mainly felt at the beach (87%) and pool (67,4%). Almost half of patients reported having been subject to an embarrassing comment related to their cellulite, while 78.3% felt pressure to seek treatment. The eating disorders described included the use of drugs, compulsive ingestion of food, feeling guilty after eating, and self-induced vomiting. The most frequently found specific emotional disorder was generalized anxiety. Conclusions: Patients with cellulite can experience emotional distress and negative feelings in everyday situations. Changes in specific behaviors and the presence of psychological and psychiatric comorbidities can be present in some patients.
RESUMEN
Se realizó una investigación aplicada longitudinal con el objetivo de evaluar la efectividad de la moxibustión en el tratamiento complementario de la celulitis facial odontógena, en los pacientes que acudieron al cuerpo de guardia de cirugía Maxilofacial del Hospital Universitario Arnaldo Milián Castro con dicha afección , durante el periodo comprendido entre octubre del 2000 a marzo del 2001. El tiempo de remisión del dolor fue significativamente menor en el grupo tratado con moxiterapia. No existieron diferencias significativas con relación al grado de trismo presentado por los pacientes antes de instaurado el tratamiento; sin embargo, durante el primer, segundo y tercer día de tratamiento, la media de la apertura oral fue significativamente mayor en el grupo casos. El tiempo que medió entre el inicio del tratamiento y la exodoncia del diente causal fue menor en los pacientes tratados con moxibustión. La moxiterapia constituye una fuente de ahorro considerable.
We realized a longitudinal study to evaluate the effectiveness of moxitherapy as complementary treatment of odontogenic cellulitis affecting patients that came to Universitary Hospital Arnaldo Milián Castro complaining of that infection, during October of 2001 to March 2002. Time of remission of the pain was significantly lower in the group treated with moxibustion. There were not significant differences according to magnitude of the limitation of oral opening presented by patients before treatment; however, during the first, second and third days of treatment, the oral opening was significantly higher on cases group. Dental extraction was realized earliest on cases group . Moxitherapy is an economy form of treatment.