Subject(s)
Carbamazepine/adverse effects , Chemical and Drug Induced Liver Injury/etiology , Dermatitis, Exfoliative/chemically induced , Anti-Allergic Agents/therapeutic use , Chemical and Drug Induced Liver Injury/diagnosis , Chemical and Drug Induced Liver Injury/drug therapy , Child, Preschool , Dermatitis, Exfoliative/diagnosis , Dermatitis, Exfoliative/drug therapy , Female , Humans , Treatment OutcomeABSTRACT
INTRODUCTION: Acute infantile hemiplegia (AIH) is a syndrome that appears, typically, in infants without any underlying neurological damage. It can be due to a number of causes, in which viral infections play an important role. We report a case of AIH caused by Coxsackie B virus. CASE REPORT: A 20-month-old female who visited because of fever, vomiting and progressive left hemiparesis. Clinical exploration did not reveal any alteration in the level of consciousness and the only striking feature was the left hemiparesis, with weak deep muscle reflexes. Of the complementary examinations carried out, the most important were: LCR with 80 leukocytes/mm3 (predominance of mononuclear cells), EEG with a persistent focus in the right temporal region (which had become normal at four days) and a positive Coxsackie B virus serology. Progression was completely normal. CONCLUSIONS: AIH is produced as a complication of focal encephalitis which gives rise to a vasculitic phenomenon. Among the infectious causes, one important aetiological agent is the herpes simplex virus. Enterovirus, however, are infrequent. Therefore, until the exact aetiology has been established, it appears wise to begin empirical therapy with acyclovir. When the germs involved in this entity are enterovirus, prognosis is good, although there are reports of cases involving neurological sequelae in the literature.
Subject(s)
Coxsackievirus Infections/complications , Enterovirus B, Human , Hemiplegia/etiology , Coxsackievirus Infections/physiopathology , Electroencephalography , Female , Hemiplegia/physiopathology , Humans , InfantABSTRACT
No disponible
Subject(s)
Child , Male , Humans , Respiratory Insufficiency , Pulmonary Edema , Anesthesia , Laryngismus , Intubation, IntratrachealABSTRACT
No disponible
Subject(s)
Child, Preschool , Female , Humans , Streptococcus pyogenes , Streptococcal Infections , Vulva , Vulvar Diseases , Anus Diseases , Diagnosis, Differential , Erythema , Anal CanalABSTRACT
Las complicaciones de la otitis media son relativamente infrecuentes, en particular desde el empleo de antimicrobianos eficaces y la introducción de técnicas quirúrgicas específicas. Se presenta un caso de seudotumor cerebral por trombosis del seno sigmoide izquierdo como complicación intracraneal de una otitis media, revisando las diferentes formas clínicas de trombosis del seno sigmoide y sus opciones terapéuticas (AU)
