ABSTRACT
En este estudio se revisan las historias clínicas de un periodo de cuatro años de los recién nacidos diagnosticados de trombosis en el Hospital 'Son Dureta' de Palma de Mallorca. Se registraron cuatro casos, lo que representa una incidencia de 1,28/10.000 nacidos vivos. La localización fue en la vena renal en dos casos, intracardiaca y aórtica. El diagnóstico se estableció en todos los casos mediante ecografía Doppler. Los cuatro pacientes sobrevivieron tras un cuadro agudo y fueron sometidos a tratamiento fibrinolítico con urocinasa. La trombosis neonatal presenta una incidencia variable, más elevada en estudios prospectivos de pacientes canalizados. Los déficits congénitos o transitorios de sustancias del sistema fibrinolítico pueden favorecer su aparición. El tratamiento varía entre los diferentes centros, aunque la urocinasa es el agente trombolítico más utilizado (AU)
Subject(s)
Female , Male , Humans , Infant, Newborn , Venous Thrombosis/epidemiology , Urokinase-Type Plasminogen Activator/therapeutic use , Venous Thrombosis/drug therapy , Thrombolytic Therapy/methods , Fibrinolytic Agents/therapeutic useSubject(s)
Hirschsprung Disease/diagnostic imaging , Intestinal Obstruction/etiology , Sigmoid Diseases/etiology , Barium Sulfate , Child, Preschool , Enema , Hirschsprung Disease/complications , Humans , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Male , Radiography , Sigmoid Diseases/diagnostic imaging , Sigmoid Diseases/surgerySubject(s)
Streptococcal Infections/epidemiology , Streptococcus agalactiae , Antibodies, Bacterial/blood , Female , Humans , Infant, Newborn , Pregnancy , Prospective Studies , Seroepidemiologic Studies , Spain/epidemiology , Streptococcal Infections/immunology , Streptococcus agalactiae/immunologyABSTRACT
We present two patients with diaphragmatic rupture, right and left respectively, which occurred after thoracoabdominal traumatisms. Comments are made on the increase of this pathology in the pediatric population and the importance of an early diagnosis. We also revise the diagnostic procedures and underline the value of the chest roentgenogram to establish an early diagnosis.
Subject(s)
Diaphragm/injuries , Accidents, Traffic , Adolescent , Child , Diaphragm/diagnostic imaging , Female , Humans , Radiography , Rupture/diagnostic imagingSubject(s)
Cor Triatriatum/diagnostic imaging , Child, Preschool , Cor Triatriatum/surgery , Humans , Male , UltrasonographyABSTRACT
The authors present 4 children with stress bone fractures and review this entity. The most significant aspects in the mechanism of production of stress fractures are considered along with the appropriate steps for the diagnosis after careful history and physical examination, with special emphasis to the imaging diagnosis.
Subject(s)
Fractures, Stress/diagnostic imaging , Tibial Fractures/diagnostic imaging , Child , Fractures, Open/diagnostic imaging , Fractures, Open/therapy , Fractures, Stress/therapy , Humans , Radiography , Tibial Fractures/therapyABSTRACT
We report a case of Subcapsular Hematoma in a preterm neonate. The etiology, clinical findings and therapeutic features of this entity are reviewed and emphasis is made on the importance of radiographic and sonographic images in early diagnosis. We also discuss the absence of intestinal air in the premature, as well as possible etiologies and differential diagnosis.
Subject(s)
Gases , Hematoma/diagnosis , Infant, Premature, Diseases/diagnosis , Intestines/physiopathology , Liver Diseases/diagnosis , Hematoma/diagnostic imaging , Hematoma/pathology , Humans , Infant, Newborn , Infant, Premature, Diseases/diagnostic imaging , Infant, Premature, Diseases/pathology , Liver Diseases/diagnostic imaging , Liver Diseases/pathology , Male , Radiography , UltrasonographyABSTRACT
A 22-month-old female infant with an accidental methanol poisoning is presented. Her serum methanol level was 25 mg/dl. The clinical and biochemical features were as follows: coma, hyperventilation, metabolic acidosis, paralytic mydriasis, hypoglycemia, increased anion and osmolal gap, DIC, elevated CPK and LDH, anemia and abnormal EEG. She was treated with bicarbonated solutions and continuous infusion of ethanol. The pathophysiology, diagnosis and treatment of this poisoning is herein revised. DIC and enzymatic alterations are specially remarked.
Subject(s)
Methanol/poisoning , Apnea/chemically induced , Coma/chemically induced , Ethanol/administration & dosage , Female , Humans , InfantABSTRACT
A comparative study of two patients, one affected by haemorrhagic shock and encephalopathy (HSE) and the other by heatstroke is reported. Both presented shock, disseminated intravascular coagulation, neurological damage and hepatopathy. A lowered alpha 1-antitrypsin concentration as well as a slightly increased circulating immune complexes and complement consumption were observed in the HSE patient but not in the heatstroke one. In both, cultures for bacteria were negative, the viral serology was non-specific and hepatitis A and B studies were negative. HSE patient died. A possible relationship between HSE, heatstroke, malignant hyperthermia and halothane hepatitis is postulated. Fever, potentially hepatotoxic drugs or unknown agents (HSE) might trigger this clinical picture.
Subject(s)
Brain Diseases/etiology , Heat Exhaustion/etiology , Shock, Hemorrhagic/etiology , Female , Heat Exhaustion/diagnosis , Humans , Infant , Liver/pathology , Male , Shock, Hemorrhagic/diagnosisSubject(s)
Foreign Bodies/complications , Stomach , Foreign Bodies/diagnostic imaging , Humans , Infant , Male , Radiography , RiskABSTRACT
Four cases of membranous laryngotracheobronchitis (MLTB) are presented. This entity is defined as an inflammation of larynx, trachea and bronchi, with mucopurulent membranes adhered to subglottic space wall. Radiological study shows irregularity of the proximal tracheal mucosa as well as adhered membranes resembling foreign bodies. Two out of the four children suffered from measles and one had staphylococcal pleuropneumonia. Tracheal aspirate obtained by laryngoscopy yielded S. aureus in two cases, and beta-lactamase positive H. influenzae in another. All patients required nasotracheal intubation and antibiotherapy. Characteristics of MLTB are discussed, pointing out its difference from viral laryngotracheobronchitis. Possibility of MLTB being initially a viral process undergoing bacterial superinfection later on is analyzed.
